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Active Surveillance Patients International

Free ASPI eBook

The Pathway

A patient-created, expert-reviewed guide to understanding Active Surveillance and navigating a low-grade prostate cancer diagnosis.

Being told you have prostate cancer, even low-risk prostate cancer, can feel overwhelming. For many men, Active Surveillance offers time to slow down, learn more, and make a thoughtful decision instead of rushing into treatment.

The Pathway was created by Active Surveillance Patients International (ASPI) — by patients, for patients — and reviewed by qualified medical professionals with experience in prostate cancer care. It is designed to help you understand what the typical monitoring journey can look like, why each step matters, and what questions you may want to bring to your doctor.

Whether you are newly diagnosed, considering Active Surveillance, or already on surveillance, this guide is here to help you feel more informed, more prepared, and more confident as you move forward at your own pace.

How to use The Pathway

Start with the level of detail that feels right

Use the brochure for a quick overview, or open the full eBook when you want more context and questions to discuss with your doctor.

Step 1

View The Pathway brochure

A short visual summary of the Active Surveillance journey and the main steps to understand first.

Download: English PDF

Español

Download PDF

Interactive eBook

Read The Pathway online

Created by patients, for patients, and reviewed by qualified medical professionals with experience in prostate cancer care.

Inside the Guide

  • A step-by-step overview of the Active Surveillance journey.
  • Plain-language explanations of PSA, MRI, biopsy, confirmatory testing, and other common terms.
  • Questions to help guide conversations with your doctor.

Prefer a printable copy? Download the PDF.

With gratitude

Dedicated to those who have helped advance Active Surveillance

The Pathway is dedicated to all of the recipients of ASPI’s Annual Awards, and to the many physicians, advocates, and pioneers who have helped advance Active Surveillance and protect patient choice over the years.

We especially recognize decades of work by Dr. Mark Scholz, Dr. Laurence Klotz, and Dr. Matthew Cooperberg, along with many others, whose leadership, research, advocacy, and patient-centered care have helped make more informed, thoughtful decisions possible for men and families around the world.

A quiet forest path splitting in two directions