Many patients and physicians are aware of the more common treatments for prostate cancer, such as surgical removal of the gland and radiation therapy with or without seed implantation. However, some people have not heard of cryosurgery, a procedure that freezes a growth and destroys the tumor by delivering cold ice to temperatures of minus 40 degrees Celsius (-40 degrees Fahrenheit).
Benefits and Risks
Cryosurgery is a minimally invasive procedure. Many times, it’s preferred to more traditional kinds of surgery because of its minimal pain and scarring.
However, as with any medical treatment, there are risks involved, primarily that of damage to nearby healthy tissue. Damage to nerve tissue is of particular concern. In addition, patients undergoing cryosurgery usually experience redness and minor local pain or discomfort.
Who Should Get Cryosurgery?
While this treatment has been used to treat prostate cancer for over 20 years, it’s a newer technology that has become very safe and effective and almost always performed as an outpatient procedure. Here are the patients this particular surgery will benefit the most:
It is an excellent choice for men who have a recurrence after radiation and in selective individuals.
It is a great primary treatment, especially for an elderly man with a small about of disease.
In selective patients, cryosurgery of the prostate can be focused on a selective area of the gland without freezing the entire prostate. That is important in men who wish to preserve their potency.
How Does Cryosurgery Work?
The procedure is performed in the operation room without any incisions.
Depending upon the size of the prostate, small needles called 6-8 Cryo probes are directed into the prostate using ultrasound guidance. Two freezing cycles are performed and a catheter is left at the end of the procedure for a few days to allow any swelling to resolve.
Post-operative instructions involve ice packs and catheter care, as there is usually not much pain.
Patients are monitored over the months and years with physical exams and PSA blood tests similar to after surgery or radiation therapy.
This is a procedure that can be repeated if needed, especially in a patient who initially had a focal treatment.
By Jeffrey G. Proctor Historically, interstitial cystitis (IC) was considered rare and has been an under-reported and under-recognized condition. IC is more common in women than men. However, more recent studies have shown that IC is more common than originally described. The RAND Interstitial Cystitis Epidemiology (RICE) study found that up to 7.9 million American […]
“You probably have prostate cancer.” When Jack Francisco heard those words from his primary care physician, they rattled his already challenging world. It was late summer 2010, and Jack’s wife, Lee, was in the midst of recuperating from her second breast cancer surgery. A financial planner by trade, Jack recognized he and his wife’s own […]
By Dr. Bryce Wyatt, M.D. Seeing blood in your urine can be an extremely dramatic and frightening experience that, unfortunately, many people will experience in their lifetime. Blood in the urine, or “hematuria”, is one of the most common reasons someone will seek the care of a urologist. While it can be scary and seem […]
