TREATMENT OPTIONS

Radical, Laparoscopic, Robotics, DaVinci, Brachytherapy, Radiotherapy, Gamaknife, IMRT, Protons, HIFU, Cryotherapy, Photodynamic Therapy, RF, Microwave, IRE / Nanoknife, Active Surveillance, Hormone Therapy, Chemotherapy.

When faced with a diagnosis of prostate cancer, it is natural for the patient to feel insecure and unable to decide on all these options.

At the Prostate Focal Therapy Institute we accompany the patient, and study together with his family which technique is most appropriate for his case.

 

At the Prostate Focal Therapy Institute we divided the options as follows:

 

• Advanced, systemic disease:

Hormone Therapy and Chemotherapy

 

• Locally advanced disease:

Radical prostatectomy, Laparoscopic, Radiotherapy, IMRT

 

• Localized disease:

Radical, Laparoscopic, Robotic (DaVinci) Prostatectomy, Radiotherapy, Gamaknife, IMRT, Protons, HIFU, Cryotherapy, Photodynamic Therapy, RF,

Microwave, IRE / Nanoknife, Active Surveillance

 

• Clinically insignificant disease:

Active surveillance

 

The range of therapeutic options for localized disease remains immense.

 

In short:

 

 

• Radical therapies - the entire gland is treated with an additional safety margin:

Radical, Laparoscopic, Robotic (DaVinci) Prostatectomy, Radiotherapy, Gamaknife, IMRT, Protons

 

• Focal therapies - only foci of aggressive disease are treated, preserving the remaining gland

HIFU, Cryotherapy, Photodynamic Therapy, RF, Microwave, IRE / Nanoknife

 

Focal therapies can be further subdivided:

 

• Thermal - destruction by heat or cold - Inflammation

HIFU, Cryotherapy, Microwave, RF

 

• Athermic - do not use temperature variations to destroy the neoplasia - Absent or minimal inflammation:

Photodynamic Therapy and IRE / Nanoknife

 

Active surveillance:

It is always advisable to confirm that it is a low risk case, with the patient aware that he will necessarily have to carry out periodic surveillance. At any time, if the urologist considers that the disease is progressing, one should proceed to one of the forms of treatment previously described.