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Updated: Oct 4, 2025

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Focal Laser Ablation of Prostate Cancer: An Office Procedure
Published on: March 30, 2021
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Focal therapy for localized prostate cancer - Current status
Shrikanth Atluri1, Ali Mouzannar1, Vivek Venkatramani1
1Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
Summary
Focal therapy (FT) offers a targeted approach to localized prostate cancer (PCa) treatment. This method preserves surrounding tissues, minimizing side effects common with radical treatments.
Area of Science:
- Oncology
- Urology
- Medical Physics
Background:
- Localized prostate cancer (PCa) traditionally treated with radical therapies.
- Radical treatments often result in significant side effects impacting urinary, sexual, and bowel functions.
- Growing interest in focal therapy (FT) as a less invasive alternative for PCa management.
Purpose of the Study:
- To review the current landscape of focal therapy (FT) for localized prostate cancer (PCa).
- To discuss various ablative modalities employed in FT for PCa.
- To assess the efficacy and safety profile of FT in managing PCa.
Main Methods:
- Literature review of studies on focal therapy for prostate cancer.
- Analysis of different energy-based ablative techniques used in FT.
- Evaluation of clinical outcomes, including cancer control and side effect profiles.
Main Results:
- Focal therapy targets cancerous lesions in the prostate, sparing healthy tissue.
- Minimizes common side effects like urinary incontinence and sexual dysfunction associated with radical treatments.
- Various ablative modalities are available for delivering energy to target tissues.
Conclusions:
- Focal therapy represents a promising organ-sparing approach for localized prostate cancer.
- FT offers a potential reduction in treatment-related morbidity compared to radical options.
- Further research and standardization of techniques are ongoing for FT in PCa.

