Until recently, there was no chemotherapy that improved survival, but with the use of taxity there is an improvement in survival1, 2.
So chemotherapy is used in some patients where the prostate cancer unfortunately becomes refractory to treatment1.
So that usually involves a consultation with the oncologist, who would normally supervise that.
There’s obviously side effects from chemotherapy and patients need to balance out the risks and benefits of chemotherapy3.
There are also a lot of emerging therapies that are coming out, such as growth factor inhibitors4, and I’m sure in the next few years there will be multiple other treatments that are going to be available for patients with prostate cancer.