Royal is defined as the presence of metastases located outside the pelvic lymph nodes or the development of resistance to one of the Lupron-like drugs. Royal is the most life threatening of all the Stages and requires aggressive treatment. The goal is to...

Many treatments have irreversible consequences, so it is important to pick the best treatment first. It is commonly understood in medical circles that long-term survival is improved by receiving optimal treatment up front. The first treatment is your best shot at eradicating the cancer.

While multiparametric MRI and color Doppler ultrasound are excellent tools for monitoring disease inside the prostate, scanning the rest of the body for cancer that may have spread to the lymph nodes or bones is also critical. Body scans are necessary for every Stage of Blue except Sky...

Once the proper Stage of Blue is assigned, the different treatments appropriate for that Stage can be considered. Overall, there are two broad categories of treatment available for Royal: Systemic treatments and combination therapy.