Tall Allen said...
Cryo has gotten a lot better since your father had it. The arguments for focal ablation (whether it be cryo, HIFU, FLA, PDT, IRE, etc.) are that it may slow down progression, have fewer SEs, and give you more years on active surveillance. The arguments against it are that it doesn't destroy enough of the cancer, often requires multiple ablation treatments, SEs depend on the doctor's skill level and there are few doctors skilled enough, SEs also depend on on size and location of the index tumor within the prostate. The other fact to consider is that some radiation therapies may have as low or lower an SE profile.
Here are a couple of articles you may want to look at:
/pcnrv.blogspot.com/2016/12/focal-ablation-unresolved-issues.html
/pcnrv.blogspot.com/2017/01/what-should-focal-therapy-be-compared.html
Thanks, TA. I have not decided on any therapy yet, but I am still considering proton radiation at MD Anderson when that time comes.