Korean J Urol.  2007 Sep;48(9):994-996. 10.4111/kju.2007.48.9.994.

Third-generation Cryosurgery for Prostate Cancer Patient with a Penile Prosthesis

• Kim MK
• Cheon J
• Kim HJ

• KMID: 2061305
• DOI: http://doi.org/10.4111/kju.2007.48.9.994

Abstract

Treatment options for clinically localized prostate cancer include surgical extirpation, radiation therapy(external beam radiation therapy and/or brachytherapy), or watchful waiting. Cryosurgery has recently re-emerged as a developing technology and as a minimally invasive treatment option. There may be technical difficulties in placing cryoprobes in patient with a penile prosthesis. To the best of our knowledge, this is the first report of cryosurgical ablation of the prostate in a prostate cancer patient with a penile prosthesis.

Keyword

Cryotherapy; Prostate cancer; Penile prosthesis

MeSH Terms

Cryosurgery*
Cryotherapy
Humans
Penile Prosthesis*
Prostate*
Prostatic Neoplasms*
Watchful Waiting

Figure

• 

  Fig. 1 Contrast enhanced endorectal magnetic resonance imaging of the pelvis shows about a 1.5 cm sized nodule in the left peripheral zone of the prostate.

• 

  Fig. 2 Contrast enhanced magnetic resonance imaging of the pelvis shows the prosthesis materials in the corpus cavernosum.

Reference

1. Han KR, Belldegrun AS. Third-generation cryosurgery for primary and recurrent prostate cancer. BJU Int. 2004. 93:14–18.

2. Mouraviev V, Polascik TJ. Update on cryotherapy for prostate cancer in 2006. Curr Opin Urol. 2006. 16:152–156.

3. Arnott J. Practical illustrations of the remedial efficacy of a very low or anaesthetic temperature. I. in cancer. Lancet. 1850. 2:257–259.

4. Gonder MJ, Soanes WA, Shulman S. Cryosurgical treatment of the prostate. Invest Urol. 1966. 3:372–378.

5. Onik G, Porterfield B, Rubinsky B, Cohen J. Percutaneous transperineal prostate cryosurgery using transrectal ultrasound guidance: animal model. Urology. 1991. 37:277–281.

6. Zisman A, Leibovici D, Seigel YI, Lindner A. Prostate cryoablation without an insertion kit using direct transperineal placement of ultrathin freezing probes. Tech Urol. 2000. 6:34–36.

7. Rees J, Patel B, MacDonagh R, Persad R. Cryosurgery for prostate cancer. BJU Int. 2004. 93:710–714.