Prostate Cancer Care in Dallas-Fort Worth: What You Need to Know from UPNT

Expert Diagnosis and Personalized Treatment at Urology Partners of North Texas

Urology Partners of North Texas (UPNT) was founded in 2019, bringing together a team of DFW’s most respected urologists—physicians who have been providing trusted prostate cancer care with experience, clarity, and compassion across the Dallas-Fort Worth area since the late 1990s. Our focus remains the same: helping men detect prostate cancer early and guiding them through every step of their care with confidence.

At UPNT, we bring that deep, collective expertise together under one roof, offering advanced diagnostics and personalized treatment for every stage of prostate cancer.

What you can expect at UPNT:

Need Answers? We're Ready to Help

Whether you’re newly diagnosed or want a second opinion, our team is here to guide you forward. We prioritize timely answers, honest conversations, and a compassionate approach to care.

Understanding Prostate Cancer: Why Early Detection Matters

Prostate cancer is the most common cancer in men—and while it’s highly curable when caught early, it still remains the second leading cause of cancer death in men behind lung cancer. Men RARELY have symptoms until prostate cancer has spread beyond the prostate. Most men feel completely fine even when cancer is present.
That’s why early detection through PSA testing and appropriate follow-up is absolutely critical.

When caught early, prostate cancer has a nearly 100% 5-year survival rate.

Know the risk factors:

Age: Risk rises sharply after age 50
Family History: Especially if a father, brother, or son was diagnosed before age 65
Ethnicity: African American men have a 70% higher risk and tend to be diagnosed younger
Lifestyle: High-fat diets, obesity, and a sedentary lifestyle may increase risk

How We Diagnose Prostate Cancer at UPNT

At UPNT, we combine thorough evaluation with cutting-edge technology to diagnose prostate cancer as early and accurately as possible. We don’t rely on guesswork—we use imaging, lab values, and real-time fusion biopsy techniques to pinpoint issues with precision. Our physicians have been pioneers in this space, performing fusion biopsies since 2011. Men travel from
across Texas for this level of precision.

Our diagnostic process includes:

PSA Blood Test: Measures levels of prostate-specific antigen; elevated levels may indicate cancer or other prostate issues
Digital Rectal Exam (DRE): A physical exam to feel for nodules or abnormalities
Prostate MRI: High-resolution imaging to detect concerning areas
PI-RADS Scoring: A standardized system to interpret MRI findings
MRI/Ultrasound Fusion Biopsy: Performed in-office at UPNT, combining MRI imaging with live ultrasound for greater accuracy
Transrectal or Transperineal Approach: Chosen based on anatomy and insurance approval; both approaches are highly accurate

Understanding Your Diagnosis: Grade Group and Cancer Staging

Once prostate cancer is confirmed, we assess its aggressiveness and spread using the Gleason Score (now called Grade Group) and the TNM staging system. This guides treatment decisions and helps personalize your care plan.

Grade Group

Gleason Score

Risk Level

Meaning

1 3+3=6

Low

Least aggressive, may qualify for active surveillance

2 3+4=7

Favorable Intermediate

Mostly low-grade, some high-grade areas

3 4+3=7

Unfavorable Intermediate

More aggressive cells are dominant

4 8 (4+4)

High

Likely to grow and spread

5 9–10 (4+5, 5+4, 5+5)

Very High

Most aggressive; needs timely treatment

TNM Staging

We also use the globally accepted TNM system:

Prostate Cancer Treatments at UPNT

There is no one-size-fits-all approach to treating prostate cancer. At UPNT, we offer a wide range of options—including surgery, radiation, focal therapy, and systemic treatments—customized to your diagnosis, preferences, and lifestyle.

Robotic Prostatectomy

UPNT surgeons have been performing robotic surgery since 2002. Collectively, they have completed over 10,000 robotic procedures. Using the da Vinci® Robotic System, we perform minimally invasive surgery with precise control and 3D visualization.

Benefits include:

Radiation Therapy

Radiation can be a highly effective non-surgical option for many patients. Our care is provided by radiation oncologists with over 20 years of experience, using modern technologies to precisely target the tumor while sparing nearby tissue.

Techniques include:

Minimally Invasive Focal Therapies

For men with small-volume or localized cancer, focal therapy may offer excellent outcomes with fewer side effects.

Options include:

Advanced Prostate Cancer Program

For men with metastatic or high-risk cancer, we offer comprehensive treatment options including:

Why UPNT Is the Premier Destination for Prostate Cancer Care

Patients from across Texas trust UPNT because we combine unmatched experience with cutting-edge technology and a personalized, human approach. From diagnosis through survivorship, we walk with you every step of the way.

What sets us apart:

Unmatched Experience: Over 10,000 robotic surgeries performed by our team.
Pioneering Technology: Among the first in DFW to adopt MRI fusion biopsies in 2011.
Decades of Local Trust: Our physicians have been practicing in the DFW community since the 1990s.
Truly Personalized Care: We design treatment plans for you, not just your cancer.
Integrated Approach: Seamless collaboration between urology, radiation oncology, and support staff.

Frequently Asked Questions (FAQ)

Do I need a biopsy if my PSA is high?

Not always. We often start with a prostate MRI and only proceed to biopsy if suspicious areas are seen or other factors, such as suspicious molecular testing or high PSA density, are found.

Will I have symptoms if I have prostate cancer?

Most men do NOT have symptoms until the cancer has left the prostate. That’s why routine PSA screening is critical.

How do I know if my cancer is aggressive?

Your Grade Group and stage help determine aggressiveness and guide treatment decisions.

Is surgery or radiation better?

It depends on your individual case. Both can be excellent options, and our team will walk you through the pros and cons of each as they relate to you.

How soon can I return to normal activities after treatment?

Most men return to daily routines within 1–2 weeks of robotic surgery or focal therapy, and many men continue their daily activities during radiation.

Take the First Step Today

Whether you’re newly diagnosed or simply want answers, our team at UPNT is here to help you make informed decisions with confidence.

Call Now

Find a Provider

Patient Information

Prostate Conditions

Urinary Tract Issues

Kidney Conditions

Scrotal & Testicular Issues

Bladder Conditions

Female Urology

Male Sexual Health

BPH Procedures

Prostate Cancer Diagnostics / Treatments

Kidney Procedures

Bladder Procedures

Urinary Tract Procedures

Urethral Strictures

Male Sexual Health Procedures

Female Urology Procedures