Combination perineal cryosurgery and external radiation therapy for adenocarcinoma of prostate

Perineal cryosurgical destruction of the prostate has been practiced at the University of Iowa since 1969 for a select group of patients with primary adenocarcinoma of the prostate. We have reviewed this technique in the past and analyzed it with respect to both patient survival and elimination of the local lesion. In this report we have evaluated 14 patients who received combination cryosurgery and external radiation therapy for prostatic adenocarcinoma. Several clinical parameters were examined with emphasis placed on control of the local lesion and obviating the need for urinary diversion or transurethral resections to relieve obstructive symptoms.