I have unifocal disease. Is there a “nerve-sparing” cryosurgery?
The concept of focal cryosurgery is to freeze that area of the involved prostate gland and leave the other side unfrozen. This has the potential advantages of causing no urinary or sexual dysfunction, but may leave unfrozen prostate cancer on the other side. Even if the biopsy did not reveal cancer, there can still be areas of small cancer that were not detected on biopsy. Therefore, I recommend that if you are considering focal cryoablation that you should have a thorough consultation in my office and also have a follow-up biopsy 1 to 2 years after the procedure.