Core Team

• Urologists
• Radiation Oncologists
• Medical Oncologists
• Pathologists
• Nurses
• Data Managers

Non Core Team and Associated Services

• Imaging specialists
• Medical physicists
• Radiation technologists
• Palliative care service
• Clinical psychologists with experience in uro-oncology
• Other professionals authorized to offer regular psychological support
• Clinical trial coordinator
• Physiotherapist
• Sexual therapist or urologist trained in andrological urology or certified andrologist or clinical nurse specialist (supervised by sexual therapist, clinical psychologist or urologist trained in andrological urology) specially trained in using interventions that can minimize post-therapeutic sexual complications and promote rehabilitation
• Geriatrician
• Patient advocates or advocacy group members

At least one clinic per week for newly referred prostate cancer patients

Discussion of the newly referred cases in the Interdisciplinary and Multiprofessional Team Meeting

Written information on the disease and possible therapeutic and observational options handed out to patients

Written information on sperm preservation handed out to patients

Clinic for the follow up of patients who undergo treatment at the Prostate Cancer Units

Follow up supervised either by one of the Prostate Cancer Unit members responsible for the initial treatment or by professionals formally collaborating with the Prostate Cancer Unit in a network

Dedicated clinic for patients with recurrent/advanced prostate cancer

Interdisciplinary and Multiprofessional Team Meetings are held on a regular basis

Cases in which the diagnosis/staging is uncertain are discussed

Cases with a diagnosis of cancer to be considered for radical therapy or observational strategies are discussed

Cases following surgery on receipt of the pathologic report are discussed

Cases in follow up after radical treatment or in observational settings or who have undergone diagnostic investigations for possible symptoms/signs of recurrent or advanced disease are discussed

N. cases discussed last year 500

Physicians and health professionals participating in the meetings

• Urology
• Radiation Oncology
• Medical Oncology
• Pathology
• Imaging
• Psychology and Mental Health Specialties
• Palliative Care
• Geriatric Care
• Physiotherapy
• Sexual Health Counselling
• Nurse
• Clinical Trial Manager
• Data Manager
• Social worker
• Patient Secretary
• Patient advocacy

Interdisciplinary and multiprofessional curative and supportive care for patients across their prostate cancer pathways, from newly diagnosed through to advanced disease

Evidence-based written guidelines for the diagnosis and management of prostate cancer all stages

Written protocols for treatment and observation strategies

Discussion and sharing of protocols and protocol amendments within the Interdisciplinary and Multiprofessional Team

Database for registering clinical information

Interdisciplinary and multiprofessional continuous education on all aspects of prostate cancer care for junior staff and students

Clinical trials and research

Written and electronic information sheets for patients

Urology

Radiation Therapy

Medical Oncology

Pathology

Imaging

Medical Physics

Palliative Care

Supportive Care

Psychology

Physiotherapy

Sexual Health Counselling

Geriatric Care

Prostatectomies performed each year 200

Two or more urologists trained in prostate disease diagnosis and treatment

Diagnosis of prostate communicated to the patient in a face to face meeting

Patients referred to sexual health counseling, when needed

Diagnosis of prostate communicated to the patient in a face to face meeting

Patients referred to rehabilitation programmes, when needed

• For urinary incontinence
  • Intensive pelvic floor training
  • Male sling
  • Urethral prosthesis
  • Other
• For erectile dysfunction
  • Penile injection therapy
  • PDE-5 inhibitors
  • Penile prosthetic surgery
  • Other

Prostatectomies performed each year 300

Two or more specialized radiation oncologists trained in prostate cancer radiotherapy or brachytherapy

Two or more radiation technologists primarily dedicated to uro-oncology

N. units 5

Simulator

Computerized planning system

Quality assurance programme

Patients referred to rehabilitation programmes, when needed

Patients referred to sexual health counseling, when needed

Patients referred to psychological counseling, when needed

Radiotherapy techniques available for prostate cancer

• External RT
  • 3-D Conformal RT
  • IMRT
  • IGRT
  • Hypofractionated RT
  • Stereotactic RT
  • Other
• Brachytherapy
  • High Dose Rate (HDR) Brachytherapy
  • Low Dose Rate (LDR) Brachytherapy
  • Other

Chemotherapy performed each year 80

Two or more medical oncologists or specialists in internal medicine, haematology and oncology trained in the treatment of prostate cancer

One or more pathologists in charge of uropathology, responsible for prostate diseas

Quality assurance programme

Available equipment

• Processors
• Microtomes
• Staining machines
• Immunostainers
• Other

One or more imaging specialist fully trained and with continuing experience in genito-urinary disease

Quality assurance programme

Available services

• Conventional radiology
• Ultrasound (with the possibility of performing biopsies)
• Ultrasound (without the possibility of performing biopsies)
• MRI
• Multiparametric MRI
• CT
• Choline PET-CT
• Fluorodeoxyglucose PET CT
• Bone scan
• Bone density scan