Getting Started with Focal Therapy for Prostate Cancer

Izak Faiena, MD, MSCR, offers a comprehensive overview of focal therapy for prostate cancer, highlighting its role as a targeted, less invasive approach to balance oncologic control with preserving patient quality of life.

In this 10-minute talk, Faiena shows that focal therapy targets the index lesion rather than the entire prostate, maintaining function while controlling cancer. It offers advantages such as fewer side effects, potential for retreatment, and deferral of whole gland therapy.

Several focal therapy modalities are discussed, including cryotherapy, high-intensity focused ultrasound (HIFU), irreversible electroporation (IRE), and focal laser ablation. The presentation underscores the importance of multidisciplinary care, continuous quality improvement, and follow-up.

While focal therapy shows potential, careful patient selection remains critical. The talk concludes with optimism about emerging clinical trials and future developments that may further refine focal therapy’s role in managing prostate cancer.

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