Targeted Prostate Laser Surgery

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Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 6/4/2010 5:38 PM (GMT -6)   
Below is a  video link for Targeted Focal Treatment (TFT) by laser. If the newsman looks familiar it's because I posted his  earlier (12/2007) PCa video before. We both share the same TFT done by cryosurgery and the same doctor who is the one conducting the laser trials. The laser treatments seems to target more tumors  in the prostate than what I experienced with ice balls.  
 
 
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 - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy
 
2/16/10 12 of 12 Negative Biopsy 
 
 
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 6/5/2010 9:34 AM (GMT -6)   
Interesting video. Is it possible that this might be a better alternative to cryo for failed radiation as primary treatment? I wonder.

Thanks for posting the video.

Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 6/6/2010 8:10 AM (GMT -6)   
don826 said...
Interesting video. Is it possible that this might be a better alternative to cryo for failed radiation as primary treatment? I wonder.

Thanks for posting the video.

Don


I doubt it, for like all targeted treatments you need a 3 D biopsy to best locate the tumors. How you would do so with whats left over after radical radiation I'd guess would be impossible. I'll try to remember to ask Dr Barqawi the next time I see him, his thoughts on that.
Diagnosed 11/08/07 - 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 - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy
 
2/16/10 12 of 12 Negative Biopsy 
 
 
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 6/6/2010 8:33 AM (GMT -6)   
Ziggy,
Your reply made me think of something else that I have been pondering. What does a radiated prostate look like after a few years of healing? I have tried to find a picture of a prostate that has been radiated just to see what it looks like. My radiation oncologist says it is just a fibrous mass of scar tissue for the most part. If anyone has a link to a picture please post.

Best to all.
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 6/6/2010 8:40 AM (GMT -6)   
don826 said...
Ziggy,
Your reply made me think of something else that I have been pondering. What does a radiated prostate look like after a few years of healing? I have tried to find a picture of a prostate that has been radiated just to see what it looks like. My radiation oncologist says it is just a fibrous mass of scar tissue for the most part. If anyone has a link to a picture please post.

Best to all.
Don


My first urologist described it like a melted burnt cheese sandwich.
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