Should I Be Checked?

  • Family history of cancer?
  • Love red meat?
  • Over 30 years old?

Find Out

Cryo Surgery

The Leading New Jersey CRYO & HIFU Specialists

Cryosurgical Ablation of the Prostate - Nerve Sparing

Cryoablation For Prostate CancerNow performing the most advanced cryosurgical ablation for prostate cancer anywhere!

Allowing total cancer destruction and rectal protection. In many cases, a subtotal or nerve sparing cryo is quite feasible.

Using general or regional anesthesia, 3 to 8 very thin cryoprobes are passed through the perineum into the prostate under precise high-resolution ultrasound control. Live, high definition images of the prostate are monitored on a computer screen to precisely place the cryoprobes, the temperature measuring needles and the ultrasound probe. When the cryoprobes are turned "on" using Argon gas a minus 140 degrees Celsius, the intense freezing process begins. A special warming catheter is carefully positioned in the urethra to protect the lining and ensure complete urinary continence afterwards. The edge of the freeze zone is monitored using the high-resolution ultrasound. When it reaches the rectal wall the freezing process is stopped. The variations on this process have allowed us to destroy just the zone of cancer if desired or a subtotal destruction of the prostate, sparing the opposite nerve bundle for preservation of erectile function. This is a unique feature of cryosurgery in that both robotic prostate surgery and radiation both must treat the entire prostate, potentially damaging both the control of urinary continence and the mechanism of sexual erection.

Before your Procedure

Take a Fleet enema the night before your procedure. On the morning of your procedure, take all blood pressure, heart and breathing medications. Avoid all blood thinners such as aspirin, Plavix or Coumadin. You cannot eat breakfast or drink anything except a small amount of water to allow you to swallow vital medications as mentioned above.

After your Cryoablation Procedure

  • The procedure time averages two hours including anesthesia. You will wake up in the recovery area with a Foley catheter in the penis. There will be some blood spotting underneath the testicles. This is normal. There will also be some blood around the catheter near the penis and in the urine. There is little or no pain. There is however an intense urge to urinate lasting 1 to 2 hours which is directly caused by the treated prostate.
  • Swelling of the scrotum and penis is normal and expected for up to 2 weeks. A black and blue discoloration is also normal and expected.
  • The Foley catheter will remain in place for 1 to 2 weeks depending on prostate size. During this time urine will drain into a bag attached to your leg. You may shower with a catheter in place. Simply dry the catheter and bag with a towel when you are finished.
  • An office visit at one week is required. Your Catheter will be removed during this office visit and you will be given a voiding trial. Most patients are catheter free at this point. Occasionally a catheter must remain for one additional week.
  • Blood in the urine can be seen on and off for up to 6 weeks. This is part of the normal healing process. Significant bleeding with the passage of blood clots must be reported to the office.
  • The PSA blood test should be repeated at 12 weeks following the procedure to see the new lower level. The PSA may not become accurate, as a reflection of prostate cancer activity, for 18 months.

Cryoablation of the Prostate

Being diagnosed with prostate cancer may be one of the most difficult and frightening experiences of a man's life. Prostate cancer is one of the most common cancers in men and traditional forms of treatment with surgery or high dose radiation can result in serious side effects.

Fortunately, an advanced treatment called cryoablation offers new hope for a cancer-free future. Best of all, it is one of the best minimally invasive prostate cancer treatments and virtually free of side effects that can occur with surgery or radiation. Cryoablation requires no radiation beams or six-week time commitment. When compared with radical prostatectomy, cryoablation is equally effective in select patients, without risk of major surgery or blood loss and allows a faster, easier recovery.

Cryoablation is a Medicare-approved, minimally invasive procedure that kills prostate cancer by freezing the cancer cells. Suitable candidates are patients with tumors localized to the prostate. Even patients with high-risk tumors or those more likely to fail radiation can be cured with cryoablation. Recent advances have made cryoablation extremely patient friendly and highly effective. Ultrasound images allow precise positioning of the cryoprobes. Temperature monitors continuously records the freezing process, determining when the target temperatures have been reached and protecting vital structures.

The benefits include a choice of general or regional anesthetic, a shorter hospital stay (usually overnight) and a fast recovery and return to normal activities. Incontinence is rare, and many patients can be treated with a nerve sparing approach that also preserves erectile function. Focal Therapy has allowed a smaller volume of tissue to be targeted, and would permit maintaining all urinary and sexual functions with a rapid return to normal activities.

Cryoablation is not major surgery. It is truly minimally invasive. Laparoscopic surgery, by contrast, is minimal access and is not minimally invasive. There are risks of incontinence and impotence as well as tumor recurrence.

Most patients who undergo cryosurgical ablation of the prostate can return to normal activities within day to weeks. Blood transfusions, incisional pains or stress incontinence is just not seen with cryoablation. Erectile function can be preserved in selected instances.

Come in to my office for a consultation and get the facts. Click Here to Contact Us Directly for more information or Click Here to Request a Free Evaluation today!

 

Cryocare Brochure (PDF, 1.5mb; requires Adobe Acrobat Reader to view.)
 

Cryocare Treatment Guide (PDF, 1 mb; requires Adobe Acrobat Reader to view.)