[Hopespringpcsg] FW: Prostate Disorders: "Plan B": Cryotherapy as Salvage Therapy for Prostate Cancer

Wed Nov 16 09:19:22 EST 2011

Hi all:

For those of you who don't subscribe to  the Johns Hopkins health alerts for
PCa, here is an interesting article.

Take care,

Glen Tolhurst

Co-facilitator PCCN Waterloo

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py-salvage-therapy_5966-1.html?ET=johnshopkins:e68015:718076a:&st=email&s=EP
H_111116_001> "Plan B": 
Cryotherapy as Salvage Therapy for Prostate Cancer 

Every year, approximately a third of men with newly diagnosed prostate
cancer will be treated with external beam radiation therapy or brachytherapy
as their primary treatment choice. Unfortunately, many will experience a
recurrence of cancer, with failure rates ranging up to 32 percent. This is
when salvage cryotherapy becomes a possible option. Read more ...

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py-salvage-therapy_5966-1.html?ET=johnshopkins:e68015:718076a:&st=email&s=EP
H_111116_001> "Plan B": Cryotherapy as Salvage Therapy for Prostate Cancer

Every year, approximately a third of men with newly diagnosed prostate
cancer will be treated with external beam radiation therapy or brachytherapy
as their primary treatment choice. Unfortunately, many will experience a
recurrence of cancer, with failure rates ranging up to 32 percent. This is
when salvage cryotherapy becomes a possible option.

Think of salvage therapy for prostate cancer as "plan B," with the ultimate
goal being to stop cancer growth and increase long-term survival. The time
to consider it is when it's been confirmed that your initial form of cancer
treatment -- external beam radiation or brachytherapy -- was not able to
cure the cancer, and the disease has come back.

A rising PSA (prostate-specific antigen) level suggests recurrent prostate
cancer, which must be confirmed by a prostate biopsy. The options available
for salvage therapy of locally recurrent prostate cancer following radiation
therapy include radical prostatectomy, brachytherapy, radiation therapy and
cryotherapy.

The drawback to prostate surgery as a salvage procedure is that due to
prostate scarring from the previous radiotherapy, the prostate will be very
difficult to remove without significant damage to the bladder and rectum.
When it comes to radiation therapy or brachytherapy as salvage
possibilities, these procedures may actually cause increased rectal and
urinary problems.

Cryotherapy is becoming an attractive option after radiation therapy failure
because cryotherapy uses freezing temperatures rather than additional
radiation to kill cancer cells that may somehow have become resistant to
additional radiation and even to hormonal therapy.

How does cryotherapy work? Cryotherapy kills cancer cells by freezing them.
In cryotherapy, thin needles (cryoprobes) are inserted through the perineum
(the area between the scrotum and anus) and into the prostate. Needle
placement is guided with an ultrasound probe placed in the rectum. Argon gas
drops the temperature of the cryoprobes to a minimum of -40 degrees C (and
often below -135 degrees C). The extremely low temperatures create iceballs
that freeze the nearby tissue, killing the tissue and cancer cells with it.
Helium is then introduced into the needles, which raises the temperature so
the prostate can thaw.  

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The latest news on treating advanced prostate cancer, direct from America's
#1 Medical Center

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anding.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001> Johns
Hopkins Advanced Prostate Cancer Treatments
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<http://www.johnshopkinshealthalerts.com/special_reports/advanced/advanced_l
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Advanced Prostate Cancer Treatments: Know Your Options When Your Cancer
Comes Back features discussions with leading experts at Johns Hopkins on
specific options for treating advanced prostate cancer to help you sift
through all your options to decide the treatment path that is right for YOU.
You will learn about current therapies as well as new approaches being
developed here at Johns Hopkins and other important medical centers. These
treatments include gene therapy to stop the advance of the disease,
monoclonal antibodies that zap cancer cells throughout the body,
angiogenesis inhibitors (drugs that choke off the blood supply to tumors)
and a variety of chemotherapy agents such as Taxotere.
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anding.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001> Read
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store_landing.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001
> Restoring Sexual Intimacy After Prostate Cancer Treatment 

Written by Drs. Jacek Mostwin and H. Ballentine Carter from the James
Buchanan Brady Urological Institute at Johns Hopkins,
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store_landing.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001
> Restoring Sexual Intimacy After Prostate Cancer Treatment presents the
latest thinking on erection rehabilitation after radical prostatectomy. It
explores the full range of erectile dysfunction treatment options --
effective oral medications, injection therapy, penile implants and more. The
report includes answers to dozens of real questions from patients on
sexuality and prostate cancer. 

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Further Reading

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.
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nding.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001> The
Johns Hopkins Prostate Disorders Bulletin 
If you're interested in staying up to date on developments in prostate
disorders, we recommend a subscription to
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nding.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001> The
Johns Hopkins Prostate Disorders Bulletin. This indispensable quarterly
journal is written for men with prostate cancer and the other prostate
health concerns: benign prostatic hyperplasia (BPH), prostatitis, lower
urinary tract symptoms (LUTS), overactive bladder (OA) and erectile
dysfunction (ED). Written by Dr. Jacek L. Mostwin and his esteemed
colleagues at the world-renowned James Buchanan Brady Urological Institute
at Johns Hopkins,
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nding.html?ET=johnshopkins:e68015:718076a:&st=email&s=EPH_111116_001> The
Johns Hopkins Prostate Disorders Bulletin goes beyond the basics to report
on the latest therapeutic treatments and gives news of clinical trials,
in-depth reports and new medications, plus detailed answers to subscribers'
concerns about all aspects of prostate health. Order now and receive five
FREE Special Reports.
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