The best imaging and treatment methods for prostate cancer are now provided through fusion systems. In MR fusion prostate biopsies, the detailed structure of the patient’s prostate is revealed with advanced MR imaging. Suspicious areas within the prostate can be clearly identified. Subsequently, these images are transferred to a three-dimensional (3D) ultrasound device through specialized software. Targeted biopsies are then taken using specially designed biopsy tools after marking the suspicious areas. One of the most significant advantages of the fusion biopsy system is the absence of the rectal route. Biopsies are performed by directly imaging the prostate through the skin. Therefore, infections, pain, and bleeding seen in standard biopsies are not observed. The biopsies taken from the targeted areas enable the precise diagnosis of the tumor. The procedure is performed as a day-case under anesthesia.
For patients diagnosed with prostate cancer, there are various treatment options available today. Rather than selecting patients based on the method of treatment, the appropriate treatment method is chosen according to the patient. Especially for localized prostate cancer, which has not spread beyond the prostate (localized prostate cancer), there are many treatment and follow-up options. When choosing the treatment method, the patient’s characteristics, the degree of the disease, and the feasibility of the treatment method are crucial.
Major surgeries such as robotic surgery, commonly applied in prostate cancer, can be exhausting for the patient and may lead to permanent side effects. Among the permanent side effects, we encounter issues that disrupt the quality of life, such as erectile dysfunction and urinary incontinence.
In our hospital, we currently use a new fusion biopsy method that not only diagnoses but also treats tumors. The Nanoknife, also known as nonthermal IRE (Irreversible Electroporation), is one of the newest cancer treatments used for this purpose. With this new treatment method applied through special devices from the skin, there is no longer a need for surgery in prostate cancer. Thanks to the special software used in fusion systems, the area where the tumor is located is clearly marked. Subsequently, with the help of therapeutic needles inserted through the skin, prostate cancer is eliminated in approximately one hour. No side effects such as urinary incontinence and erectile dysfunction are observed during and after this procedure. The treatment is entirely performed through a closed method without any incisions. The Nanoknife IRE procedure is integrated with the existing fusion biopsy system in our hospital.
Advantages:
Offering a non-surgical solution, Being able to treat cancer without causing organ loss, Ease of application of the procedure, No side effects such as erectile dysfunction, The repeatability of the procedure.
