Cryotherapy

Published

Book Section

© Springer-Verlag Berlin Heidelberg 2012. Cryotherapy is a recognized treatment option for prostate cancer both in the primary and salvage settings. Herein, we summarize the current knowledge on cryotherapy for prostate cancer including elements of cryobiology, complications, and oncological outcomes of primary and salvage cryoablation of the prostate. Cryotherapy in the primary setting appears to have a low morbidity profile with most complications being transient and self-limiting. In the salvage setting, the rates of some adverse events are higher than in the primary setting but compare favorably with alternative salvage treatments. Biochemical disease-free outcomes remain challenging to summarize for both primary and salvage cryoablation due to widespread variability in the definitions used. However, as long-term outcomes (cancer-specific, metastasis-free, and overall survival) begin to mature, promising results emerge. Yet, there is significant work to be done to standardize the definitions, candidate selection criteria, and refine the outcome measures. Cryotherapy for prostate cancer is an established technique, supported by favorable results, but in need for further high-quality data.

Full Text

Duke Authors

Cited Authors

  • Tsivian, M; Polascik, TJ

Published Date

  • January 1, 2012

Book Title

  • Management of Prostate Cancer: A Multidisciplinary Approach

Start / End Page

  • 213 - 223

International Standard Book Number 13 (ISBN-13)

  • 9783642275968

Digital Object Identifier (DOI)

  • 10.1007/978-3-642-27597-5_16

Citation Source

  • Scopus