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