Prostate Cancer Ablation
Prof. Damian Greene
Prof. Damian Greene (Newcastle) is the most experienced operator of prostate cryoablation in the UK
Dr. Manit Arya
Dr Manit Arya (London UCH) undertakes both cryoablation and High Intensity Focussed Ultrasound (HIFU) of the prostate gland.
Prostate Cancer - Cryoablation
Benefits of cancer ablation
- Less invasive than "keyhole surgery"
- Shorter hospital stay
- Return to work quicker
- Preserves normal sexual function better than surgical or radiation therapies
- Reduced incontinence and other side effects
- Incisionless and scarless
Prostate cancer is common. Globally it is the second most common type of cancer and the fifth leading cause of cancer-related death in men. The 5 year survival in first world countries approaches 99%. Indeed many cases can be safely managed by active surveillance (watching and waiting). Those cases requiring treatment have traditionally been limited to combinations of surgery, radiation therapy, hormone therapy and chemotherapy.
All traditional treatments have drawbacks. Hormone sensitive cancers often become resistant. Whole gland therapies such as surgery and radiation carry a significant burden of side effects. Impotence and urinary incontinence can significantly disrupt quality of life. Surveillance can, on occasion, miss the widow for curative treatment.
Prostate cryoablation was developed as a treatment option for prostate cancer that minimised these effects. Focal cryoablation has gone further. It is possible to treat the cancer within the gland but spare the normal tissue thereby minimising the risks of impotence or incontinence. Focal Cryoablation is first line treatment in young patients with small volume disease.
How do I proceed?
The next step is to find out whether or not your tumour is amenable to ablation treatment. As a rule, small tumours are most suitable. Larger tumours can only rarely be treated this way. Patients with spread of cancer to other organs cannot be treated as systemic therapy is the appropriate therapy.
The decision to ablate depends also on where your tumour is in relation to other major body structures and of course your overall health. Ablation is a hospital procedure that requires either general anaesthesia or deep sedation. Overall health is more important than age, indeed our oldest patient is aged 88.
Prostate Cancer videos
HIFU User Group Meeting
3D Animation of HIFU Procedure
The procedure is performed under general anaesthetic to help with the precise positioning of the cryoprobes. When appropriate tumours are targeted most patients experience a dramatic improvement in pain control. A follow up scan is performed about 10 days after the treatment to assess the outcome.