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Prostate Cancer

Comprehensive, Personalized Care in Maine

Prostate cancer is the most common cancer among men in the United States (excluding skin cancer). Fortunately, when detected early, it’s often highly treatable.

Fore River Urology is the most comprehensive prostate cancer care center in Maine.
We offer full-spectrum diagnostics, treatment, and follow-up care under one roof—combining advanced imaging, surgery, targeted therapies, and collaboration with leading specialists in medical and radiation oncology.


High-Risk Prostate Cancer Screening Clinic

If you have a compelling family history of prostate cancer or have known genetic mutations (such as BRCA1/2), you may be at increased risk.

Our High-Risk Screening Clinic offers:

  • Early and precise PSA testing and tracking over time

  • Advanced imaging such as 3T MRI

  • Tailored biopsy and monitoring plans

Diagnostic Tools We Use

  • PSA testing and PSA density analysis

  • Digital rectal exams (DRE)

  • Ancillary urine and serum based genomic/molecular markers (when appropriate)
  • 3T Multi-parametric Prostate MRI

  • MRI-ultrasound fusion biopsy, for accurate targeting of suspicious areas


Treatment Options We Offer

Every patient’s prostate cancer is different. We offer a personalized approach, which may include:

1. Active Surveillance

For low-risk cancers, this approach avoids overtreatment and includes:

  • PSA monitoring

  • Repeat imaging and biopsy

  • Ongoing support from our team

2. Surgery

We offer both open surgery and robotic-assisted laparoscopic prostatectomy using the da Vinci Surgical System—minimally invasive, with faster recovery and reduced risk of complications. Every patient is unique, and having high-volume expert surgeons gives you options.

3. Radiation Therapy

We collaborate with trusted radiation oncologists throughout Maine.

Radiation is often combined with hormone therapy in intermediate- and high-risk cases. We help coordinate and manage your full care plan.

4. Hormone Therapy

Used to reduce testosterone levels and slow cancer growth. Often combined with radiation or for more advanced disease.

5. Advanced Medical Treatments

For metastatic or high-risk prostate cancer, we may recommend:

  • Androgen receptor inhibitors (e.g., Xtandi, Nubeqa, Erleada)

  • PARP inhibitors (e.g., Lynparza)

  • Immunotherapy (e.g., Provenge)

  • Chemotherapy, if needed, in collaboration with oncology


Why Choose Fore River Urology?

  • Maine’s most comprehensive prostate cancer care center

  • ‍⚕️ High volume expert open and robotic surgeons

  • Cutting-edge diagnostics including 3T MRI and MRI-guided biopsy

  • Integrated high-risk screening for early detection

  • Team-based approach with local radiation and chemotherapy specialists

  • Convenient location in South Portland


Next Steps

Whether you’re newly diagnosed, looking for a second opinion, or monitoring a rising PSA, we’re here to help.

Call us today at 207-518-6600
Request an appointment online