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Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer

Publication ,  Journal Article
Chang, D; Madden-Fuentes, RJ; Peterson, AC
Published in: Current Bladder Dysfunction Reports
December 1, 2017

Purpose of Review: Prostate cancer is one of the most prevalent malignancies in males and treatment is not infrequently associated with substantial morbidity. As a result, there has been growing interest in alternative therapies for prostate cancer therapy including high-intensity focused ultrasound (HIFU) and focal cryoablation. Herein, we review the potential genitourinary sequelae of these therapies including incontinence and erectile dysfunction. Recent Findings: Various studies have demonstrated that with improvements in delivery technique and technologies aimed at treatment of prostate cancer, the risks of urinary incontinence, urethral obstruction, and erectile dysfunction have decreased. Large studies demonstrate rates of continence in 84–100% of patients and potency in 44–77% of patients treated with HIFU. Focal cryoablation incontinence rates can be as low as 1.6% and erectile function may be preserved in 68.8% of patients. Summary: Urinary incontinence and erectile dysfunction rates are lower in patients treated with HIFU or focal cryoablation compared to patients treated with traditional therapies. However, HIFU patients may experience higher rates of urethral stricture and bladder neck obstruction compared to traditional therapies.

Duke Scholars

Published In

Current Bladder Dysfunction Reports

DOI

EISSN

1931-7220

ISSN

1931-7212

Publication Date

December 1, 2017

Volume

12

Issue

4

Start / End Page

285 / 290
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chang, D., Madden-Fuentes, R. J., & Peterson, A. C. (2017). Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer. Current Bladder Dysfunction Reports, 12(4), 285–290. https://doi.org/10.1007/s11884-017-0435-2
Chang, D., R. J. Madden-Fuentes, and A. C. Peterson. “Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer.” Current Bladder Dysfunction Reports 12, no. 4 (December 1, 2017): 285–90. https://doi.org/10.1007/s11884-017-0435-2.
Chang D, Madden-Fuentes RJ, Peterson AC. Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer. Current Bladder Dysfunction Reports. 2017 Dec 1;12(4):285–90.
Chang, D., et al. “Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer.” Current Bladder Dysfunction Reports, vol. 12, no. 4, Dec. 2017, pp. 285–90. Scopus, doi:10.1007/s11884-017-0435-2.
Chang D, Madden-Fuentes RJ, Peterson AC. Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer. Current Bladder Dysfunction Reports. 2017 Dec 1;12(4):285–290.
Journal cover image

Published In

Current Bladder Dysfunction Reports

DOI

EISSN

1931-7220

ISSN

1931-7212

Publication Date

December 1, 2017

Volume

12

Issue

4

Start / End Page

285 / 290