A Canadian center’s experience on whole-gland salvage therapy for radio-recurrent prostate cancer with various modalities

Authors

  • Joseph L. Chin Department of Urology, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada
  • J. Jesus Cendejas-Gomez Department of Urology, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada https://orcid.org/0000-0003-0833-3144
  • Max Peters Department of Radiotherapy, University Medical Center Utrecht https://orcid.org/0000-0002-7981-5768

DOI:

https://doi.org/10.5489/cuaj.8331

Keywords:

Prostate cancer, Radio-recurrent prostate cancer, Salvage ablative therapies, Focal salvage therapy

Abstract

Salvage radical prostatectomy for localized radio-recurrent prostate cancer had historically, in the 1980s and 1990s, been associated with relatively high morbidity. Thus, there was an impetus to explore the role of minimally invasive ablative therapies for this patient population. To review the Canadian experience of salvage ablative therapy for radio-recurrent prostate cancer, this article chronicles the quarter-century results of whole-gland salvage ablation therapies at one academic center, Western University (UWO), with emphasis on cryoablation, high-intensity focused ultrasound (HIFU), and interstitial laser photodynamic therapy (PDT). As well, recent developments in other salvage techniques and advanced functional imaging will be reviewed, and the evidence for and increasing acceptance of focal salvage therapy will be briefly discussed.

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Published

2023-08-29

How to Cite

Chin, J. L., Cendejas-Gomez, J. J. ., & Peters, M. . (2023). A Canadian center’s experience on whole-gland salvage therapy for radio-recurrent prostate cancer with various modalities. Canadian Urological Association Journal, 17(12), 425–31. https://doi.org/10.5489/cuaj.8331