Category: Focal Treatment & Laser Ablation

Not every prostate cancer patient wants to choose between surgery and surveillance. Transperineal Focal Laser Ablation offers a third path, and it requires far less specialized equipment than MRI-guided ablation does. That makes the procedure shorter, simpler, less costly, and considerably easier for patients to access. keep reading

For localized prostate cancer, the options can feel like two extremes: treat the whole gland and risk lasting side effects, or treat none of it and live with the worry of watching and waiting. Focal therapy sits in between. By destroying just the tumor and a small margin around it, it aims for cancer control close to radical treatment while preserving the quality of life that comes with treating none of the gland. keep reading

Why treat an entire prostate when the trouble usually starts in one spot? That question sits at the heart of focal therapy. For decades the answer was that doctors couldn't see or target the tumor precisely enough. Advances in multiparametric MRI, MRI-guided biopsy, and the index lesion concept finally changed that, opening a middle path between radical treatment and active surveillance. keep reading

Focal therapy destroys a prostate tumor while leaving healthy tissue intact. But once treatment is done, how do doctors know if it worked? A structured follow-up protocol using mpMRI is the current standard. Now a newly proposed PSMA-based scoring system called PSMA-FAB is aiming to complement that approach. keep reading

For men dealing with BPH, the urinary symptoms are just part of the story. The condition is now linked to measurable increases in depression and anxiety. Focal laser ablation at Sperling Prostate Center precisely reduces obstructing prostate tissue, helping men reclaim both their health and their wellbeing. keep reading

What if you could eliminate a prostate cancer tumor while keeping nearly everything else intact? That's the promise of focal therapy — and it's no longer a fringe idea. Backed by stronger imaging tools and better biopsy methods, focal therapy now delivers cancer control that rivals surgery, with far fewer side effects keep reading

"You have prostate cancer." Those words hit hard — and immediately, every part of you wants it gone. At Sperling Prostate Center, we understand that. We treat both the tumor and the man behind it, balancing advanced focal therapy with attention to lifestyle, values, and what matters most to each patient. keep reading

What if treating prostate cancer didn't mean choosing between all-or-nothing surgery and a watchful waiting approach that leaves many men anxious? Focal therapy has emerged as a precision middle ground — and a new journal review offers the most thorough look yet at how it works, what it achieves, and which men are the best candidates. keep reading

Most men with radiation-recurrent prostate cancer once had few good options — hormone therapy delayed the disease but offered no hope of cure. Today, focal salvage ablation is changing that picture. Now, a global expert panel has outlined the clinical trial standards needed to put this promising treatment on solid scientific footing. keep reading

In a murder mystery, the killer is often hiding in plain sight. The same can happen with prostate cancer. In 10-15% of cases that appear low risk, hidden aggressive disease is waiting for an unexpected twist. A deeper diagnostic workup—mpMRI, genomic analysis, and other tools—can reveal the true nature of the disease before a treatment plan is locked in. keep reading