Prostate Preserving Treatments: Focal Therapy (including IRE, cryoablation, Tulsa Pro) that Protect Quality of Life

madman · 2025-06-16T20:32:07-0500

In this episode, Dr. Geo sits down with Yale’s Dr. Preston Sprenkle to explore cutting-edge organ-sparing treatments—like IRE, cryoablation, and Tulsa Pro—that precisely target cancer while preserving urinary and sexual function. Learn how focal therapy is transforming prostate cancer care, who it’s best for, and what happens if it doesn’t work.

Dr. Sprenkle and Dr. Geo explore:

* When focal therapy (including IRE, cryoablation, Tulsa Pro) is the best option

* How to decide between surgery, radiation, and focal treatment

* What Gleason scores (6, 7, 8, 9+) actually mean for your treatment plan

* How PSMA PET scans and genomic testing guide smarter decisions

* What happens if focal therapy doesn’t work—and what your options are

* The future of prostate cancer care and why holistic urology is here to stay

Whether you're on active surveillance or exploring options after a diagnosis, this is a must-watch episode for any man serious about preserving quality of life while effectively treating prostate cancer.

Chapters

00:00 Introduction to the Dr. Geo Prostate Podcast
02:00 A Walk Down Memory Lane: Dr. Geo and Dr. Sprinkle's History
02:51 The Evolution of Holistic and Integrative Urology
04:24 The Importance of Physical Exercise in Prostate Cancer Care
05:40 Trust Issues and the Role of Urologists
07:17 Patient-Centered Approach to Prostate Cancer Treatment
11:49 Understanding Gleason Scores and Genomic Testing
18:57 Intermediate and High-Risk Prostate Cancer Treatments
19:09 Sponsor Message: Lynx DX Prostate Cancer Screening
20:25 Ablation Therapy for Intermediate and High-Risk Patients
24:56 Current Guidelines on Ablation Therapies
25:36 Challenges and Considerations in Ablation
26:23 Surgical Options Post-Ablation
27:08 Comparing Ablation to Radiation
28:21 Salvage Therapies After Ablation
30:08 Types of Focal Therapies
31:10 Technologies and Tools in Ablation
31:41 IRE and Its Benefits
35:58 Tulsa Pro: A New Frontier
38:44 Patient Considerations and Decision Making
48:16 The Future of Focal Ablation Therapies
49:10 Final Thoughts and Resources

madman · 2025-06-16T20:34:06-0500

Thread 'Focal Therapy Options for Prostate Cancer'

Oct 25, 2024

Focal Therapy Options for Prostate Cancer

Host: Jay D. Raman, MD, FACS, FRCS(Glasg)
Guest: Ruben Olivares, MD

Outline:

Segment

1: Why Focal Therapy?Segment
2: Patient selection for Focal Therapy Segment
3: Review of Existing Focal Therapy Modalities Segment
4: How to Build a Successful Focal Therapy Program

Here are the key takeaways from the podcast transcript on focal therapy options for prostate cancer: