FAQs: 3d Mapping Prostate Biopsy and Targeted Focal Therapy

1. Am I a candidate for a 3D prostate cancer biopsy?

Anytime we need more information than is provided by a traditional prostate biopsy, you may benefit from a 3D prostate cancer biopsy.

For example, if your physician is concerned about your rising PSA and traditional prostate biopsies have not found a problem, a 3D prostate cancer biopsy will help find out if prostate cancer is causing this elevated PSA.

Or, if a small area of low grade cancer has been found by a traditional biopsy then a 3D prostate cancer biopsy may help us decide whether treatment or Active Surveillance is your best option.

However, if a traditional biopsy has found a large volume of cancer or a high grade cancer, then a 3D prostate cancer biopsy may not be needed to effectively plan your treatment.

2. Am I a candidate for Targeted Focal Cryotherapy Prostate Cancer Treatment?

First you must have a 3D prostate cancer biopsy to get a complete picture of your prostate and precisely locate the cancer. If the cancer is located in one or two distinct areas and the rest of your prostate does not show pre-cancerous areas then you may be an ideal candidate for targeted focal cryotherapy prostate cancer treatment.

3. How often do you find more cancer than was originally diagnosed by a traditional biopsy?

Approximately one third of our 3D prostate cancer biopsies show more cancer than was previously identified.

4. How long will it take before I make a full recovery?

As with most procedures, the time it takes to fully recover depends on many factors such as age, health, and extent of surgery. Typically, we encourage the patient to rest the first 2-3 days after the procedure(s) and avoid strenuous activity such as exercise and heavy lifting. In most cases, patients can resume normal activity within one week after 3D prostate cancer biopsy or Targeted Focal Therapy.

5. What are the most common side effects from 3-D mapping biopsies?

Keep in mind that the 3D prostate cancer biopsy is done under general anesthesia and in the operating room, but you will go home that same day. When you wake up you will have a catheter; it will be removed in a couple of days. You will probably have some blood in your urine for a several days. You may have some pain that requires medication for a few days, as well as some bruising near your scrotum. Also, due to the inflammation created during the procedure you may have some decreased sexual function for a month or so.

6. What are the most common side effects from Targeted Focal Cryotherapy Prostate Cancer Treatment?

Because the procedure for targeted focal cryotherapy prostate cancer treatment and the 3D prostate cancer biopsy are so similar, the short term side effects are very similar. In addition to the short term side effects mentioned, you may have longer term side effects that are determined by the size of the area treated and the location within your prostate. If the area is small and in the middle of your prostate then the long term side effects will likely be very minimal. If, however, the area is larger or near structures like your erectile nerves, you may have more long term side effects like decreased sexual function.

In most situations the side effects are much less when compared to more radical therapies such as radiation or surgery.