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Lodeizen O, de Bruin M, Eggener S, Crouzet S, Ghai S, Varkarakis I, Katz A, Dominguez-Escrig JL, Pahernik S, de Reijke T, de la Rosette J. Ablation energies for focal treatment of prostate cancer. World J Urol 2018; 37:409-418. [PMID: 29943219 PMCID: PMC6424940 DOI: 10.1007/s00345-018-2364-x] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Accepted: 05/30/2018] [Indexed: 02/06/2023] Open
Abstract
Context In recent years, focal therapy has emerged as a treatment option for a selected group of men with localized prostate cancer. Cryotherapy and high-intensity focused ultrasound (HIFU) are the most investigated types of focal treatment with other options currently under evaluation. Objective The objective of the study was to give a comprehensive overview of six available focal treatment options for prostate cancer with their rationale, delivery mechanism, and outcomes. Information acquisition The SIU ICUD chapter on available Energies to Treat Prostate Cancer was used as a guide to describe the different technologies. For outcomes, a literature search was conducted using PubMed key words including focal therapy, HIFU, cryotherapy, irreversible electroporation, vascular-targeted photodynamic therapy, laser interstitial therapy, radiofrequency ablation, microwave therapy, and their synonyms in MeSH terms. Conclusion Focal therapy appears to have encouraging outcomes on quality of life and urinary and erectile function. For oncological outcomes, it is challenging to fully interpret the outcomes due to heterogeneity in patient selection and short-term follow-up. Electronic supplementary material The online version of this article (10.1007/s00345-018-2364-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Olivia Lodeizen
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
| | - Martijn de Bruin
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Scott Eggener
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Sébastien Crouzet
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Sangeet Ghai
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Ioannis Varkarakis
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Aaron Katz
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | | | - Sascha Pahernik
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Theo de Reijke
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
| | - Jean de la Rosette
- Olivia Lodeizen, AMC University Hospital, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands
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