Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Definitive Prostate Cancer Care in Dallas-Fort Worth: Your Guide from UPNT

Leading Expertise, Advanced Diagnostics, and Personalized Treatment at Urology Partners of North Texas 
A prostate cancer diagnosis can be a pivotal moment, but in the Dallas-Fort Worth Metroplex, men have an unmatched ally in Urology Partners of North Texas (UPNT). We are dedicated to being the definitive resource for newly diagnosed prostate cancer patients, providing a comprehensive understanding of your condition, access to the nation’s most experienced specialists, and state-of-the-art treatment options. Our mission is to empower you with knowledge and compassionate care every step of your journey. 

Understanding Prostate Cancer: Essential Knowledge for DFW Men

Prostate cancer is the most common cancer among men, forming in the prostate gland—a small gland located below the bladder that produces seminal fluid. While some prostate cancers grow slowly and may not require immediate aggressive treatment, others are more aggressive and can spread quickly. 

Common Risk Factors for Prostate Cancer:

  • Understanding your personal risk can guide discussions about screening and early detection. Key risk factors include:
  • Age: The risk significantly increases with age, particularly after 50.
  • Family History: A strong family history of prostate cancer, especially in a father or brother diagnosed before age 65, can double your risk.
  • Ethnicity: African American men have a higher risk of developing prostate cancer and tend to develop it at an earlier age.
  • Diet & Lifestyle: Research suggests a high-fat diet and obesity may contribute to an increased risk.
The Importance of Early Detection: Prostate cancer often presents no symptoms in its early stages. Symptoms typically appear only after the cancer has grown or spread significantly (e.g., blood in urine or semen, difficulty urinating, bone pain). This makes routine screenings vital for catching the disease early when it’s most treatable and before it has the opportunity to spread. 

Precision Diagnosis at UPNT: Setting the Standard in DFW

At UPNT, our diagnostic process is designed for ultimate precision, ensuring you receive the clearest and most accurate understanding of your condition. We leverage advanced technology and the deep expertise of our team to accurately detect and characterize prostate cancer. 

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Our Comprehensive Diagnostic Capabilities Include:

Initial Screening Tools:

  • Prostate-Specific Antigen (PSA) Blood Test: This blood test measures PSA levels, a protein produced by the prostate. Elevated PSA levels can indicate prostate cancer, though other non-cancerous conditions can also cause high PSA.
  • Digital Rectal Exam (DRE): A physical examination where your urologist manually feels the prostate for any abnormalities in size, shape, or texture.

Advanced Imaging Studies: Guiding Precise Decisions (Performed at Local Imaging Centers):

  • High-Resolution Prostate MRI: We collaborate with leading local imaging centers in the Dallas-Fort Worth area to obtain detailed MRI scans of your prostate. These sophisticated images are crucial for identifying suspicious areas within the prostate that might not be visible on other scans.
  • Collaborative MRI Evaluation and PI-RADS Scoring: While your MRI scan is performed at a trusted local imaging center, our UPNT specialists work closely with experienced radiologists to comprehensively evaluate the PI-RADS (Prostate Imaging Reporting and Data System) score of your MRI. This collaborative assessment provides a standardized way to classify the likelihood of clinically significant cancer, playing a key role in determining the potential need for a prostate biopsy.
  • Why Imaging Matters: Our integrated approach—combining excellent local imaging services with our specialists' expertise in interpreting findings and guiding next steps—helps us accurately identify concerning areas, reduce unnecessary biopsies, and formulate the most appropriate diagnostic plan for you.

State-of-the-Art Biopsies: Unmatched Accuracy, Performed at UPNT:

  • MRI Fusion Biopsies: This advanced technique, performed right here at UPNT, is a cornerstone of our precise diagnosis. We overlay your detailed MRI images (from your local imaging center) with real-time ultrasound during the biopsy. This "fusion" technology enables our urologists to target suspicious lesions with remarkable precision, significantly improving the accuracy of cancer detection compared to traditional methods.
  • Transperineal Fusion Biopsies (Insurance Permitting): We are proud to offer this leading-edge biopsy approach. Unlike traditional transrectal biopsies, the transperineal method accesses the prostate through the skin between the scrotum and anus. This approach offers two significant advantages:
  • Significantly reduced risk of infection.
  • Superior access to all regions of the prostate, enhancing cancer detection, especially in hard-to-reach anterior areas.
  • Our team will guide you through insurance coverage for this option.

Understanding Your Diagnosis: Gleason Score and Personalized Staging

Once a biopsy confirms prostate cancer, our specialists meticulously evaluate its aggressiveness and spread. This critical step, performed with precision and care, forms the foundation for your personalized treatment strategy. 

The Gleason Score: Your Cancer's Blueprint for Aggressiveness

The Gleason Score is arguably the most important piece of information for newly diagnosed prostate cancer patients. It is a critical grading system used by pathologists to evaluate how aggressive your cancer cells look under a microscope. It helps predict how likely the cancer is to grow and spread.
Here’s how it works:
  • Primary and Secondary Patterns: When the pathologist examines your biopsy tissue, they identify the two most common patterns of cancer cells. Each pattern is assigned a Grade from 1 to 5:
    • Grade 1: Cancer cells look very similar to healthy prostate tissue (least aggressive).
    • Grade 5: Cancer cells look highly abnormal and disorganized (most aggressive).
  • Calculating the Score: The grades of the two most prevalent patterns are added together to create your Gleason Score. For example, if the most common pattern is Grade 3 and the second most common is Grade 4, your Gleason Score is 3+4=7.
    • Possible Scores: Gleason scores typically range from 6 to 10. Scores below 6 are rarely given for actual cancer.

What Your Gleason Score Means: 

Gleason Score Range

Interpretation

Gleason 6 (e.g., 3+3=6)

Less Aggressive: Indicates cancer cells that are well-differentiated and grow slowly. Often considered “low-risk” or “favorable,” potentially allowing for active surveillance in select cases.

Gleason 7 (e.g., 3+4=7 or 4+3=7)

Intermediate Aggression: This is the most common score.
3+4=7: Predominantly less aggressive cells with some more aggressive ones. This is considered a more favorable intermediate-risk.
4+3=7: Predominantly more aggressive cells with some less aggressive ones. This is considered a less favorable intermediate-risk, often indicating a greater need for closer monitoring or active treatment. 

Gleason 8, 9, 10

High Aggression: Indicates cancer cells that are poorly differentiated and are more likely to grow and spread quickly. These are considered “high-risk” cancers and generally require more immediate and intensive treatment. 
Understanding your specific Gleason Score is vital for discussing your prognosis and guiding treatment decisions. Our UPNT specialists will explain your score in detail and what it means for your personalized care plan.

TNM Staging: Defining the Cancer's Extent

In addition to the Gleason Score, we use the globally recognized TNM (Tumor, Node, Metastasis) Staging System to define how far the cancer has progressed:
  • T (Tumor): Describes the size and location of the primary tumor within the prostate.
  • N (Node): Indicates whether the cancer has spread to nearby lymph nodes.
  • M (Metastasis): Shows if the cancer has spread to distant parts of the body (e.g., bones, lungs).

Your Advanced Treatment Journey at UPNT: Leaders in Prostate Cancer Care

At Urology Partners of North Texas, we don’t believe in one-size-fits-all solutions. Our multidisciplinary team collaboratively designs a highly personalized plan, integrating the latest therapies with your unique needs and goals. We are committed to providing treatments that not only combat cancer effectively but also preserve your quality of life. 

Our Leading-Edge Treatment Options Include:

Robotic Prostatectomy with Nationally Experienced Surgeons: 

  • Our urologic oncology surgeons are among the most experienced robotic surgeons in the country, regularly performing complex procedures with exceptional outcomes.
  • Using the advanced da Vinci® Robotic Surgical System, they perform radical prostatectomies with unparalleled precision, offering magnified 3D vision and enhanced dexterity.
  • This minimally invasive approach leads to less pain, smaller incisions, shorter hospital stays, and faster recovery times, often with superior outcomes for nerve-sparing and urinary control.

IMRT (Intensity-Modulated Radiation Therapy) with Decades of Expertise: 

  • Our radiation oncologists have treated high volumes of prostate cancer patients for over 20 years, bringing a wealth of experience and refined techniques to your care.
  • IMRT is a highly precise form of external beam radiation that delivers targeted radiation to the tumor while minimizing exposure to surrounding healthy tissues, reducing side effects.

SpaceOAR™ Hydrogel & Barrigel®: 

  • Innovative spacers injected before radiation therapy to protect the rectum, significantly reducing potential radiation exposure and lowering the risk of bowel side effects.
  • UPNT specializes in the precise application of these protective hydrogels to enhance treatment safety.

NanoKnife® (Irreversible Electroporation - IRE):

  • A groundbreaking, minimally invasive focal treatment that uses electrical pulses to destroy cancer cells.
  • NanoKnife is ideally suited for patients with lower volume disease confined to one area or one side of the prostate, with a key advantage of preserving erectile function and minimizing urinary incontinence.
  • It can also be used as salvage therapy for patients with recurrent cancer after radiation or other ablation therapies have failed.

Cryoablation (Cryosurgery): 

  • A targeted, minimally invasive procedure that uses extreme cold to precisely freeze and destroy cancerous cells within the prostate. This offers an alternative for specific prostate cancer cases.
  • Similar to NanoKnife, cryoablation can also be used for salvage therapy for recurrent prostate cancer after previous treatments like radiation.

Advanced Prostate Cancer Program for Metastatic Disease: 

  • For patients with metastatic prostate cancer (cancer that has spread beyond the prostate), UPNT offers a specialized, comprehensive program.
  • Our experts leverage the latest systemic therapies, including advanced hormonal treatments, chemotherapy, immunotherapy, and access to cutting-edge clinical trials, to manage the disease, extend life, and maintain quality of life through a holistic approach.

Why UPNT is the Premier Choice for Prostate Cancer Care in DFW

Choosing the right team for prostate cancer care is a critical decision. At Urology Partners of North Texas, we distinguish ourselves through: 
  • Elite DFW Specialists: Our urologists, radiation oncologists, and support staff are recognized leaders in their fields, bringing together decades of specialized experience in prostate cancer. We are deeply rooted in the Dallas-Fort Worth medical community.
  • Unrivaled Technological Advancement: From transperineal fusion biopsies to the da Vinci Robotic System and advanced radiation platforms, we offer the most sophisticated diagnostic and treatment technologies available to ensure the best outcomes for our patients.
  • Truly Personalized Care: We listen, we educate, and we partner with you. Every treatment plan is uniquely tailored to your specific cancer, health status, and personal goals, ensuring you receive the most appropriate and effective care.
  • Seamless, Multidisciplinary Care: Our integrated approach means urologists, radiation oncologists, and other specialists work together cohesively, coordinating every aspect of your care for optimal outcomes.
  • Compassion and Support: Beyond medical excellence, we provide a supportive environment, understanding the emotional impact of a cancer diagnosis. We are here to answer your questions and provide comfort and guidance throughout your journey.
  • DFW's Trusted Authority: As a cornerstone of urological care in the Dallas-Fort Worth area, UPNT is dedicated to serving our community with integrity, expertise, and a steadfast commitment to your health.

Take Control of Your Prostate Health. Contact UPNT Today.

If you or a loved one needs prostate cancer care, or if you’re seeking a second opinion from the leading experts in Dallas-Fort Worth, reach out to Urology Partners of North Texas. We are here to provide clarity, confidence, and the highest standard of care. 
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Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025. To ensure that your medical care continues seamlessly, your ongoing care will be transitioned to another physician within our practice. You may schedule appointments directly by contacting our office at 866-367-8768 or via your patient portal. Your medical records will remain securely within the practice, so there is no additional step required on your part unless you wish to request a transfer elsewhere.
Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025.
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