# Dr Carla Perna

> Expert prostate cancer care and state-of-the-art radiotherapy, every step of the way


## Posts

- [Why Staying Active Matters During Prostate Cancer Therapy](https://carlaperna.co.uk/exercising-through-prostate-cancer/): Staying active during prostate cancer treatment can significantly improve strength, energy, and overall well-being. This guide explains the benefits of exercise, including aerobic and strength training, and how a personalised fitness plan can support recovery and long-term health.
- [Prostate Cancer Treatment, Side Effects and What Really Matters to Patients](https://carlaperna.co.uk/prostate-cancer-treatment-and-side-effects/): Prostate cancer treatment can impact more than just survival—it can affect urinary control, sexual health, and overall quality of life. This article explores common side effects, why personalised treatment decisions matter, and how open conversations can help men feel more confident about their care.
- [Prostate Cancer and Your Sex Life: Questions Every Man Should Feel Able to Ask - Client Version](https://carlaperna.co.uk/prostate-cancer-and-sex-life-questions-to-ask/): https://carlaperna.co.uk/wp-content/uploads/2026/03/Prostate-Cancer-and-Your-Sex-Life-Questions-Every-Man-Should-Feel-Able-to-Ask-Client-Version.mp4 When men are first diagnosed with prostate cancer, most of the conversation quite understandably focuses on curing the cancer, how the treatment works, how long it will take, and what the main side effects might be. These discussions often cover urinary symptoms and bowel function, because these are common areas affected by treatment. What...
- [Stages of Prostate Cancer: When Does It Become Metastatic?](https://carlaperna.co.uk/stages-of-prostate-cancer-when-does-it-become-metastatic/): Understanding the stages of prostate cancer is essential for making informed treatment decisions. This guide explains how prostate cancer progresses from localized stages to metastatic disease, how doctors detect its spread, and what it means for treatment and long-term management.
- [Chemotherapy for Prostate Cancer](https://carlaperna.co.uk/chemotherapy-for-prostate-cancer/): Chemotherapy for prostate cancer is a treatment option that uses medicines to destroy cancer cells or slow their growth when the disease has progressed beyond the prostate. It is usually considered in cases where the other treatment has not been effective, or the cancer has extended to other body parts. Learning the mechanism of this treatment can enable patients to make wise choices regarding their treatment.
- [Metabolic Syndrome, Lifestyle and Prostate Cancer](https://carlaperna.co.uk/metabolic-syndrome-lifestyle-and-prostate-cancer/): The metabolic syndrome is a cluster of health disorders that tend to co-exist. It involves weight gain, elevated blood pressure, elevated sugar in the blood and abnormal levels of cholesterol. Such changes have the potential to influence general health and can also have an impact on the formation and progression of prostate cancer, especially in men undergoing treatment.
- [Exercise and Prostate Cancer](https://carlaperna.co.uk/exercise-and-prostate-cancer/): Exercise plays an important role in supporting men with prostate cancer by improving strength, reducing fatigue, and enhancing overall well-being. This article explores the benefits of physical activity, safe exercises during treatment, and practical tips for creating a balanced routine that supports recovery.
- [Urological Cancers Men Should Pay Attention To](https://carlaperna.co.uk/urological-cancers-men-should-pay-attention-to/): Urological cancers often develop silently, with early signs easily mistaken for ageing or infection. This guide helps men recognise warning symptoms, understand risk factors, and know when to seek specialist care, empowering earlier diagnosis and better treatment outcomes.
- [Foods to avoid when having radiotherapy for prostate cancer](https://carlaperna.co.uk/foods-to-avoid-when-having-radiotherapy-for-prostate-cancer/): Radiotherapy for prostate cancer can stress the digestive and urinary systems, making diet an important part of treatment. Avoiding foods that trigger irritation while focusing on hydration and gentle, nourishing meals can help reduce side effects, support healing, and make treatment more comfortable and manageable.
- [Backache and prostate cancer: When to worry](https://carlaperna.co.uk/backache-and-prostate-cancer/): Back pain is extremely common and is rarely a sign of prostate cancer. In most cases, it is caused by muscle strain or age-related spinal changes. Understanding when back pain is harmless and when warning signs require medical review helps reduce anxiety and ensures timely, appropriate care.
- [Work, travel, and daily life with metastatic prostate cancer](https://carlaperna.co.uk/living-with-metastatic-prostate-cancer/): Living with metastatic prostate cancer often requires adjustments, but many men continue working, travelling, and maintaining daily routines. With proper planning, medical guidance, workplace flexibility, and emotional support, it is possible to preserve independence, quality of life, and wellbeing while managing symptoms and ongoing treatment.
- [Metastatic prostate cancer: Signs, symptoms, and treatments](https://carlaperna.co.uk/metastatic-prostate-cancer/): Metastatic prostate cancer occurs when cancer spreads beyond the prostate to bones or other organs. Although complex, modern treatments can control symptoms, slow progression, and improve quality of life. Understanding symptoms, diagnosis, and treatment options empowers patients and families to make informed decisions and manage the disease confidently.
- [Side effects of hormone treatment for prostate cancer](https://carlaperna.co.uk/side-effects-of-hormone-treatment-for-prostate-cancer/): Hormone therapy for prostate cancer can cause physical, emotional, and metabolic side effects, including muscle loss, weight gain, fatigue, mood changes, and bone weakening. With early monitoring, lifestyle adjustments, and medical support, most side effects are manageable, allowing men to maintain quality of life throughout treatment.
- [Can a man have a normal sex life after prostate surgery?](https://carlaperna.co.uk/sex-after-prostate-surgery/): Sex after prostate surgery often changes temporarily due to nerve and blood vessel effects. Erections may be weaker at first, ejaculation becomes dry, but orgasm and intimacy remain possible. With time, nerve healing, penile rehabilitation, and open communication, many men regain confidence and enjoy a satisfying sexual life again.
- [Prostate cancer: Understanding types, symptoms, and treatment](https://carlaperna.co.uk/prostate-cancer-types-symptoms-and-treatment/): Prostate cancer often develops quietly, with symptoms appearing only as the disease progresses. Understanding its causes, early signs, diagnostic methods, and treatment options helps men make informed decisions. Early detection allows greater choice between monitoring and treatment, improving long-term outcomes, quality of life, and overall health management.
- [Is prostate cancer genetic?](https://carlaperna.co.uk/is-prostate-cancer-genetic/): Prostate cancer can have a genetic component, particularly when it runs in families or appears at a younger age. Inherited gene mutations and family history can significantly increase risk. Understanding genetic factors allows earlier screening, personalised monitoring, and informed lifestyle and healthcare decisions to support long-term prostate health.
- [Testosterone and prostate cancer: What’s the connection?](https://carlaperna.co.uk/testosterone-and-prostate-cancer-whats-the-connection/): Testosterone does not cause prostate cancer, but it can stimulate cancer cell growth once the disease is present. Understanding this distinction helps men make informed decisions about screening, testosterone therapy, and hormone-based treatments. With proper monitoring and specialist guidance, hormone-related care can be safe, personalised, and effective.
- [Symptoms of metastatic prostate cancer](https://carlaperna.co.uk/symptoms-of-metastatic-prostate-cancer/): Symptoms of metastatic prostate cancer can develop gradually and vary depending on where the disease has spread. Bone pain, urinary changes, fatigue, weight loss, or leg swelling should never be ignored. Early symptom recognition enables timely imaging, personalised treatment, and better control of advanced prostate cancer.
- [Best treatment options for prostate cancer](https://carlaperna.co.uk/best-treatments-for-prostate-cancer/): Prostate cancer treatment is highly personalised and depends on cancer stage, aggressiveness, and individual health goals. Options range from active surveillance and surgery to precision radiotherapy, hormone therapy, chemotherapy, and targeted treatments. Understanding these choices helps patients make confident, informed decisions with their specialist.
- [Erectile dysfunction after prostate cancer treatment](https://carlaperna.co.uk/erectile-dysfunction-after-prostate-cancer-treatment/): Erectile dysfunction after prostate cancer treatment is common but often temporary. Surgery or radiotherapy can affect nerves, blood flow, and hormones, leading to erection difficulties. With early rehabilitation, medical treatments, lifestyle support, and specialist guidance, many men regain sexual function and confidence over time.
- [External beam radiotherapy in prostate cancer: Linac, MRI guidance, side effects, and patient recovery](https://carlaperna.co.uk/external-beam-radiotherapy-in-prostate-cancer/): External beam radiotherapy is a highly effective, non-invasive treatment for prostate cancer with excellent long-term control rates. While erectile dysfunction can occur months or years after treatment, it differs from general urological ED and is often manageable with early rehabilitation, medication, and specialist-guided support.
- [The benefits of MRI-guided radiotherapy for prostate cancer](https://carlaperna.co.uk/the-benefits-of-mri-guided-radiotherapy-for-prostate-cancer/): MRI-guided radiotherapy is transforming prostate cancer treatment by combining real-time MRI imaging with highly precise radiation delivery. This approach allows doctors to adapt treatment daily, protect nearby organs, reduce urinary and bowel side effects, and improve quality of life while maintaining excellent cancer control and curative potential.
- [Side effects of hormone therapy and radiotherapy in prostate cancer patients](https://carlaperna.co.uk/side-effects-of-hormone-therapy-and-radiotherapy-in-prostate-cancer-patients/): Hormone therapy and radiotherapy are highly effective treatments for prostate cancer, but they can cause side effects affecting mood, energy, sexual health, and daily comfort. Understanding these effects and using strategies such as exercise, counselling, and specialist support helps men manage symptoms, protect quality of life, and stay confident throughout treatment.
- [How to self-examine for testicular cancer](https://carlaperna.co.uk/how-to-self-examine-for-testicular-cancer/): Each year, more than 2,000 men are diagnosed with testicular cancer in the UK. Understanding the risk factors, symptoms, and available treatments is thus crucial for the early diagnosis and effective management of the condition.

## Pages

- [Patient Stories](https://carlaperna.co.uk/patient-stories/): Advancing cancer care through clinical trials Dr Carla Perna is deeply committed to advancing cancer treatment through ongoing research and active participation in clinical trials, carefully reviewing new evidence and integrating it into her daily practice to improve patient outcomes. She works as part of a specialised multidisciplinary team to design and support studies that...
- [Dr Perna's Research](https://carlaperna.co.uk/dr-perna-research/): Advancing cancer care through clinical trials Dr Carla Perna is deeply committed to advancing cancer treatment through ongoing research and active participation in clinical trials, carefully reviewing new evidence and integrating it into her daily practice to improve patient outcomes. She works as part of a specialised multidisciplinary team to design and support studies that...
- [Renal Cancer Treatment](https://carlaperna.co.uk/renal-cancer/): Precision care for renal cancer with SABR Renal cancer, often referred to as kidney cancer, can affect both daily comfort and long-term health, making timely diagnosis and expert treatment especially important. Many patients discover it during routine scans, turning an unexpected finding into a deeply personal journey. Dr Carla Perna supports you at every stage,...
- [Testicular Cancer](https://carlaperna.co.uk/testicular-cancer/): Comprehensive care for testicular cancer Testicular cancer can impact men both physically and emotionally, creating a journey that requires both medical expertise and emotional support. With early diagnosis and expert treatment, outcomes are often highly positive, giving patients an excellent chance of recovery. Dr Carla Perna provides skilled, compassionate care, combining advanced clinical knowledge with...
- [Terms and Conditions](https://carlaperna.co.uk/terms-and-conditions/): Terms and Conditions PLEASE READ THESE TERMS AND CONDITIONS CAREFULLY BEFORE USING THIS SITE These terms of use (together with the documents referred to in it) tell you the terms of use on which you may make use of our website www.carlaperna.co.uk (our site). Use of our site includes accessing and browsing our site. Please...
- [Privacy Policy](https://carlaperna.co.uk/privacy-policy/): Our Privacy Policy Last updated March 18, 2025 This Privacy Notice for www.carlaperna.co.uk (‘we’, ‘us’, or ‘our’), describes how and why we might access, collect, store, use, and/or share (‘process’) your personal information when you use our services (‘Services’), including when you: Visit our website at www.carlaperna.co.uk, or any website of ours that links to...
- [Lutetium PSMA Therapy](https://carlaperna.co.uk/lutetium-psma-therapy/): Advanced radioligand therapy with lutetium PSMA Lutetium PSMA therapy is a highly specialised treatment designed for men with advanced prostate cancer. It combines a radioactive substance (Lutetium-177) with a molecule that seeks out PSMA, a protein commonly found on prostate cancer cells. This allows radiation to be delivered directly to the tumour while minimising damage...
- [Stereotactic Radiotherapy](https://carlaperna.co.uk/stereotactic-radiotherapy/): High-Precision cancer control with stereotactic radiotherapy Stereotactic radiotherapy (SRT) is a cutting-edge form of radiation treatment that delivers very high doses of radiation to tumours with extreme accuracy. Using advanced imaging and computer-guided technology, it targets cancer while sparing surrounding healthy tissues. Dr Carla Perna offers SRT to treat oligometastatic cancer (where cancer has spread...
- [Targeted Therapy](https://carlaperna.co.uk/targeted-therapy/): Precision medicine with targeted therapy Targeted therapy is a modern approach to cancer treatment that focuses on the specific changes driving a tumour’s growth. Unlike traditional chemotherapy, it works by interfering with cancer cell pathways while sparing much of the healthy tissue. Dr Carla Perna uses targeted therapy to treat certain types of prostate cancer,...
- [Hormone Therapy](https://carlaperna.co.uk/hormone-therapy/): Hormone therapy for prostate cancer Hormone therapy is a cornerstone treatment for prostate cancer, designed to slow or stop the growth of cancer cells by reducing the body’s production of testosterone. Dr Carla Perna uses this proven approach to help manage prostate cancer at various stages, especially when the disease has spread or is at...
- [MRI Guided Treatment](https://carlaperna.co.uk/mri-guided-treatment/): Innovative cancer care with MRI-guided treatment MRI-guided treatment is an advanced approach that combines powerful imaging with precise therapy delivery. By using real-time magnetic resonance imaging, doctors can see the tumour and surrounding structures clearly during treatment. Dr Carla Perna uses this technology to treat prostate cancer, perform re-radiation in previously treated areas, and reach...
- [Brachytherapy](https://carlaperna.co.uk/brachytherapy/): Precision cancer care with brachytherapy Brachytherapy is a highly targeted form of internal radiotherapy that delivers radiation directly to the tumour while sparing surrounding healthy tissue. Dr Carla Perna, an experienced consultant in urological cancers, uses this advanced technique to treat prostate cancer with precision and care. Dr Carla Perna carefully assesses each patient’s cancer...
- [External Beam Radiotherapy](https://carlaperna.co.uk/external-beam-radiotherapy/): Non-Invasive cancer treatment with external beam radiotherapy External beam radiotherapy (EBRT) is a well-established cancer treatment that uses high-energy X-rays or protons to destroy cancer cells from outside the body. It is painless, non-invasive, and planned with great precision to target tumours while sparing as much healthy tissue as possible. Dr Carla Perna uses EBRT...
- [Chemotherapy](https://carlaperna.co.uk/chemotherapy/): Comprehensive cancer care with chemotherapy Chemotherapy is a powerful cancer treatment that uses specialised medicines to target and destroy rapidly growing cancer cells. Dr Carla Perna offers this therapy to patients with prostate cancer and testicular cancer, tailoring each plan to the type and stage of disease. With her expertise in urological cancers, she carefully...
- [Oligometastatic Cancer](https://carlaperna.co.uk/oligometastatic-cancer/): Targeted solutions for oligometastatic disease Oligometastatic disease occurs when cancer has spread to a limited number of sites, often representing an opportunity for targeted treatment and improved outcomes. In many cases, timely intervention can significantly impact survival and quality of life. Dr Carla Perna offers advanced, personalised care for patients facing this complex condition. Combining...
- [Prostate Cancer](https://carlaperna.co.uk/prostate-cancer/): Comprehensive care for prostate cancer Prostate cancer is one of the most common cancers affecting men, often bringing uncertainty and concern. Early detection and expert treatment can significantly improve outcomes. Dr Carla Perna offers a truly personalised approach to prostate cancer care, blending clinical expertise with an understanding of each patient’s unique needs. Dr Perna...
- [About Us](https://carlaperna.co.uk/about-us/): Dedicated to compassionate cancer care Dr Carla Perna is an experienced consultant oncologist widely recognised for her expertise in treating prostate and testicular cancer. Her approach goes beyond delivering advanced medical treatments. Further, she believes in providing clear guidance, personalised care, and emotional reassurance throughout the journey.  With a strong focus on innovation and research,...
- [Contact us - Dr Carla Perna](https://carlaperna.co.uk/contact-us/): We’re here when you need us most Reach out today and we are here to answer your questions, guide you through your options, and be there for you at every turn. Request Consultation Give Us a Call:01483 806004 Contact Dr Perna Ready to take the next step in your cancer care? Contact us today to...
- [Prostate, Testicular & Oligometastatic Cancer Specialist | Surrey & London - Dr Carla Perna](https://carlaperna.co.uk/): Expert prostate cancer care and state-of-the-art radiotherapy, every step of the way Dr Carla Perna offers expert care for men with prostate and testicular cancer, guiding each patient from diagnosis to recovery. Combining advanced treatments with genuine compassion, she ensures every individual feels supported, informed, and never alone on their journey. Enquire More about Dr...
- [Blogs](https://carlaperna.co.uk/blogs/): Expert insights for your cancer journey Stay informed with expert insights and practical advice from Dr Carla Perna. Our blog is dedicated to supporting men facing prostate and testicular cancer, offering clear, reliable information on diagnosis, treatment choices, and recovery. From understanding symptoms to managing side effects and improving quality of life, these resources are...

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