Prostate Cancer

MRI Fusion Guided Biopsy of the Prostate

Suncoast Urology now offers one of the most advanced systems to detect prostate cancer. This begins with an MRI of the prostate. The MRI images are then fused into an ultrasound to allow for targeting of suspicious lesions within the prostate. The biopsy can then be done in the office under local anesthesia similar to how standard biopsies are done only with much greater accuracy. This state of the art technique allows for better detection of significant prostate cancers while reducing the need for some biopsies that may not be necessary. Suncoast Urology is one of the only urology practices in the area using this system.

Robotic Prostatectomy

Using the da Vinci Surgical System, your surgeon can remove the prostate by making several small incisions in the abdomen and guiding the robot to remove the prostate and reattach the bladder to the urethra. This surgery offers decreased intraoperative blood loss, decreased hospital stay and decreased length of time that a catheter needs to be worn.

Brachytherapy (seeds)

Brachytherapy (Prostate Seeds) is a procedure done under intravenous anesthesia for prostate cancer. In this procedure an ultrasound probe is placed into the rectum. According to the plan from a radiation oncologist, needles are placed into the prostate and tiny seeds of radiation are placed through these needles into precise locations in the prostate. Delivering radiation to these specific sites helps prevent scattering to adjacent structures.

Cryoablation of the Prostate (freezing)

Cryoablation of the Prostate is a procedure done under intravenous anesthesia for prostate cancer. In this procedure an ultrasound probe is placed into the rectum so the prostate can be visualized. Under ultrasound guidance needles are placed into the prostate. Through these needles, a cold gas is inserted and the prostate is "frozen" to kill cancer cells. Continuous warming fluids placed in the urethra help to prevent any freezing of adjacent structures.

High Intensity Focused Ultrasound of the Prostate

High Intensity Focused Ultrasound Treatment of the Prostate (HIFU) is a state of the art treatment for prostate cancer. It is a precise, noninvasive procedure using high-intensity focused ultrasound to destroy prostate tissue. It uses the focused ultrasound to create heat to destroy the prostate tissue at the focal point of the energy. Outside of the focal site however, the tissue is unharmed. This procedure is done as an outpatient procedure under intravenous anesthesia. It has just received approval in the United States. The focused nature of this procedure allows us to minimize side effects such as erectile dysfunction and incontinence which can be seen with some of the other options of treatment available.

Radical Prostatectomy

Radical Prostatectomy is a procedure done under general anesthesia in a hospital setting. This is generally done with an incision made in the lower abdomen, through which the prostate is removed and the bladder reattached to the urethra. Newer techniques using a laparoscope and robots are being done at some centers to minimize the incision and postoperative discomfort.