MRI Fusion Biopsy is now available. First the patient will have to have an MRI of the prostate done at the facility designated. Once the MRI has been completed, the prostate biopsy is scheduled on a separate day usually under general anesthesia. Special Ultrasound software is used to combine the MRI Images to target certain areas to be biopsied.
Stereotactic Transperineal Prostate Biopsy. This is done under general anesthesia. Biopsy needle is passed through the perineal skin (area of skin behind the scrotal sac) to biopsy the prostate. This is done with a mapping technique so each biopsy is tagged to a specific location. There is less incidence of infection because the needle is not passed through the rectal wall.
Prostate Cancer Treatments
HIFU (High Intensity Frequency Ultrasound) Approved as of October 2015 for use in the USA. It has been available and used for prostate cancer treatment in Europe and the rest of the world for many years. This uses high intensity ultrasound waves passed through the rectum to destroy parts of the prostate or the whole prostate. This may be useful in the future for partial ablation of the prostate. The theory is if we can localize where the prostate cancer is in the prostate, we can then destroy just that part and avoid much of the complications associated with surgery or radiation.
It is comes only in 20mg tablets, so if you are used to taking 100mg of Viagra you may have to take 5 tablets of the generic Viagra to be equivalent. Regardless, this is still much cheaper. Contact my office for further details.
Whether in a gel form, pellets or injection, it continues to be extremely safe and beneficial as long as it is being used in proper dosage and proper indications. For patients whose insurance does not cover this well, we can help find less expensive options for you.
There are several new blood tests to help sort out patients who may need a prostate biopsy and those that can be observed. These tests include 4KScore test and PHI test. Others are coming out soon as well. They are not all covered by insurance, so it is best to check with your insurance company first to make sure it is covered. It is estimated these tests can cut down the number of prostate biopsies by one third.
Platelet Rich Plasma for Erectile Dysfunction
This is a brand new expanding field that holds very exciting promise for erectile dysfunction. Our office markets this procedure under the name Erecgen. This involves drawing your blood, processing it in the office using the most specialized machine for this and then injecting it into the penis. More details are available on the website. The results of the procedure are extremely promising.