When we can distinguish “significant” prostate cancer from
non-aggressive prostate cancer, ablative treatment options can be considered.
When minimally invasive ablative therapy is used, it can treat the entire
prostate gland or just the area with the known disease. Treating only the
“significant” prostate cancer is known as focal therapy. Focal therapy
eliminates the aggressive cells without destroying the rest of the prostate.
This minimizes the potential for urinary incontinence or sexual dysfunction.
Focal prostate treatment is similar to the advancing
technology for breast cancer. Today, lumpectomy has largely replaced the
radical mastectomy. Another way of
thinking about focal treatment is to consider an apple with a bad spot. Rather
than tossing the whole apple, only the bad spot is removed.
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