Topic: Cryoablation

Renal Ablation Technologies – Impact on the Treatment of Small Renal Masses

Thomas W. Jarrett, MD, explores the evolving role of renal ablation technologies in managing small renal masses (SRMs), highlighting their increasing importance as an alternative to traditional surgical approaches. In this 20-minute talk, he provides a detailed overview of the various ablation techniques, including radiofrequency ablation (RFA), cryoablation, and microwave ablation, emphasizing their distinct mechanisms of action and clinical applications.

The presentation delves into the outcomes associated with renal ablation, discussing the advantages and disadvantages of the different ablation options. Dr. Jarrett also addresses the limitations and challenges of renal ablation, including the potential for incomplete tumor destruction and the difficulties in monitoring long-term outcomes.

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Prostate Cryoablation in Taiwan

Chung-Hsin Chen, MD, PhD, Associate Professor of Urology at National Taiwan University in Taipei, Taiwan, discusses prostate cryoablation in Taiwanese patients. Chen addresses considerations for patient selection regarding prostate cryoablation, including indications as well as absolute and relative contraindications. Following this, he describes the mechanisms of cryoablation and proactive rectal warming probes, giving examples of what treatment plans might look like. Finally, he examines the effects of cryoablation as indicated by several studies, focusing on three main points: the oncological outcomes of Taiwanese patients are similar to the cryo online data (COLD) registry, the oncological outcomes of cryoablation is similar to radical prostatectomy in his group’s research, and most post-cryoablation complications were preventable or reducible.

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The Pros of Focal Therapy for Prostate Cancer

Jeffrey A. Jones, MD, argues that although radical therapy leads to better oncological control than focal therapy, focal therapy may be more appropriate for certain prostate cancer patients in order to mitigate adverse effects. He examines oncological and quality of life outcomes of localized therapies, specifically cryotherapy and high-intensity focused ultrasound (HIFU).

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