cryosurgery -focal point surgery

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siberian
Regular Member


Date Joined Oct 2007
Total Posts : 94
 		   Posted 8/8/2008 12:19 AM (GMT -6)   
The posting by ziggy  is one of the best ever posted in this forum.  The videos explained the procedure very well, and I would recommend that all the men freshly dianosed with pc  look at these videos. There are other options to radiation and major surgery.
 
 
Siberian (ken)
 
(Editing out lots of dead space below your sig, and the closer.  Don't know why that still happens once in a while. )  James C.
 
 
 
 
 
 

Post Edited By Moderator (James C.) : 8/8/2008 2:34:30 PM (GMT-6)

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Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
 		   Posted 8/8/2008 3:06 PM (GMT -6)   
siberian said...
The posting by ziggy  is one of the best ever posted in this forum.  The videos explained the procedure very well, and I would recommend that all the men freshly dianosed with pc  look at these videos. There are other options to radiation and major surgery.
 
 
Siberian (ken)
 
Thanks Ken and I agree the videos are very informative. But they are really only for those with low level low risk diagnosed PCa. As I said before this TV special was the first hope I had after my diagnosed PCa that brought me out of depression. I always had a hard time accepting the possibility of radical treatment be it removal of the prostate or frying it by radiation when I really had no symptoms, other than  getting up once or twice a night to piss. I think in coming years many men will be seen as having been overtreated now. I'm not talking those with aggressive PCa at all, this is not for everybody. But for those like me I believe this is the future. I just played golf and my life has returned to pre diagnosis days.
 
I need to remind everyone this is a clinical research study only being performed as an option at the University of Colorado Medical Center at Denver, Co. It is only an optional treatment here and only if you qualify after a 3D mapping saturation Biopsy.  
 
 
Below are the videos Ken is posting about:
 
 (Editing more dead space)  James C.  Forum Co-Moderator
 

Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
7/30/08
Psa: .32 
 

Post Edited (realziggy) : 8/8/2008 2:38:34 PM (GMT-6)

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siberian
Regular Member


Date Joined Oct 2007
Total Posts : 94
 		   Posted 8/11/2008 11:54 PM (GMT -6)   
Hello Ziggy;
 
This is to let you know, the inventor or the Focal point ablation is Dr. Gary Oniz located in Celebration Fla.  Another one, and the one I am seeing is Dr Steve Watson, located in Slidel And Hammond La. In my case since my cancer is in several places, I will be having cryosurgery for the entire prostate.  This still has less after operation symptoms and incontinence  than Da vinci surgery. Someone here has said that he talked his physician into doing focal ablation in more than one area of the prostate,---but the Doctor explained that this would be at the patients risk,--since he had recommended against it.---This patient said that he was doing well. These operations are medicare approved.
 
Siberian (Ken)

age 68
diag 10/07/2007
T1c
Gleason 3+3=6
prostate 66gm
13biopsies, 3pos.
Trying to make up mind about having davinci or cryosurgery

Siberian
(Ken)

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Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
 		   Posted 8/12/2008 1:19 AM (GMT -6)   

For those researching this option, the doctor who invented cryoablation is Dr. Gary Onik (with a K) and is at the center Ken mentions.  He has worked on the cryotherapy procedure for over 25 years.  He received high remarks at the 2004 ASCO meeting in Scottsdale Arizona.  Ziggy can correct me if I am wrong, Dr. Al Barqawi received a grant for the study of TFT, a different procedure than total Cryoablation, and is the only center in that grant for this study.  While other Cryosurgeons do perform this procedure without total ablation, there is no study that has results over ten years.  Cryo Centers often do other treatments, as in the center below, and they all outline the Pro's and Con's of this procedure (this applies to total Ablation).  Note that this center does perform Cryosurgery also.

http://www.prostatecancercare.com/treatment/cryosurgery_pc.html

In the following link, guidelines for this treatment option are talked about, and also critiqued.  The authors are world reknowned prostate cancer specialists including David Crawford from the University of Colorado Hospitals ~ and Dirctor of the prostate cancer program there.  Dr. Barqawi is a surgeon in that center.

http://prostatecancerinfolink.net/2008/07/24/is-focal-cryotherapy-appropriate-for-localized-disease/

Please also note, Cryoablation is surgery.  And as in all surgery options it can have side effects.  While cryoablation is touting less side effects, many men have to have repeat procedures done, or will have to take on additional therapies similar to other treatment options, that will compound the side effects in the same manner.

 

 


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Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
 		   Posted 8/12/2008 9:55 AM (GMT -6)   
siberian said...
Hello Ziggy;


This is to let you know, the inventor or the Focal point ablation is Dr. Gary Oniz located in Celebration Fla. Another one, and the one I am seeing is Dr Steve Watson, located in Slidel And Hammond La. In my case since my cancer is in several places, I will be having cryosurgery for the entire prostate. This still has less after operation symptoms and incontinence than Da vinci surgery. Someone here has said that he talked his physician into doing focal ablation in more than one area of the prostate,---but the Doctor explained that this would be at the patients risk,--since he had recommended against it.---This patient said that he was doing well. These operations are medicare approved.



Siberian (Ken)


I've heard of Dr Onik before, maybe from you Ken and I knew someone in La. was doing cryosurgery. But Tony back then was correct to remind me on the fact the University of Colorado is the only TFT undergoing an official recognized study. It appears with widespread PCa you wouldn't be a candidate here either for TFT. The guidelines at the university medical center is no more than 30% of the gland. The last I heard was that only 57% qualify for TFT down from 63%. I was one of the lucky ones. I'm too young for medicare but cryotherapy is approved by many if not all insurance plans as far as I know. I did have a refusal initially for the 3D saturation biopsy until Dr Barqawi had it over turned on a peer to peer appeal. I could understand it for without following it with TFT it would be no better than a standard biopsy if you did radical surgery or radiation on the entire prostate. The only thing I remember on total cryoablation is a possibility of fistulas
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
7/30/08
Psa: .32 
 

Post Edited (realziggy) : 8/12/2008 10:26:31 AM (GMT-6)

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Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
 		   Posted 8/12/2008 10:00 AM (GMT -6)   
TC-LasVegas said...

For those researching this option, the doctor who invented cryoablation is Dr. Gary Onik (with a K) and is at the center Ken mentions. He has worked on the cryotherapy procedure for over 25 years. He received high remarks at the 2004 ASCO meeting in Scottsdale Arizona. Ziggy can correct me if I am wrong, Dr. Al Barqawi received a grant for the study of TFT, a different procedure than total Cryoablation, and is the only center in that grant for this study. While other Cryosurgeons do perform this procedure without total ablation, there is no study that has results over ten years. Cryo Centers often do other treatments, as in the center below, and they all outline the Pro's and Con's of this procedure (this applies to total Ablation). Note that this center does perform Cryosurgery also.

http://www.prostatecancercare.com/treatment/cryosurgery_pc.html

In the following link, guidelines for this treatment option are talked about, and also critiqued. The authors are world reknowned prostate cancer specialists including David Crawford from the University of Colorado Hospitals ~ and Dirctor of the prostate cancer program there. Dr. Barqawi is a surgeon in that center.

http://prostatecancerinfolink.net/2008/07/24/is-focal-cryotherapy-appropriate-for-localized-disease/

Please also note, Cryoablation is surgery. And as in all surgery options it can have side effects. While cryoablation is touting less side effects, many men have to have repeat procedures done, or will have to take on additional therapies similar to other treatment options, that will compound the side effects in the same manner.



Actually it's Dr Crawford who received the study for TFT. He's the head of urologic oncology


Dr Barqawi is the director of research who did my cryosurgery along with the local newsman on the videos.
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
7/30/08
Psa: .32 
 

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