- Bilateral Scrotal Orchidectomy
- Bladder Neck Incision (B.N.I.) and Urethrotomy
- Flexible Cystoscopy
- Hydrocelectomy Spermatocelectomy & Epididymal Cystectomy
- Inguinal Orchidectomy
- Kidney Cryotherapy
- Laparoscopic Nephrectomy
- Laproscopic Pyeloplasty
- Laser Prostatectomy
- Magnetic Resonance Imaging (MRI) Scan
- Other Services (Men & Women)
- Other Treatments (Men Only)
- Robotic Assisted Laparoscopic Prostatectomy
- Sexual Dysfunction
- Transperineal Ultrasound Guided Prostate Biopsy (TPPB)
- Transrectal Ultrasound & Biopsies of the Prostate
- Transurethral Resection of Bladder Tumour
- Clinical Trials
Cryotherapy or Cryosurgery eradicates prostate cancer by freezing prostate cells.
The Surgeon inserts needles into the prostate gland through the area between the scrotum and the anus. The needles produce very cold temperatures. The latest generation of cryotherapy uses ultra-thin needles to produce iceballs of extreme sub-zero temperatures. The Surgeon uses ultrasound to guide the insertion of the needles and monitor the freezing process, which destroys the entire prostate including cancerous tissue.
Because cryotherapy is minimally invasive, prostate cryotherapy has demonstrated fewer complications than other prostate treatments. The procedure benefits include:
- A choice of general or regional anaesthetic
- A fast recovery and lower risk of potential side effects and complications
- No radiation or radioactive substances are left in the body
- No major surgery, which means that you are back on your feet and back to your normal activities quicker
- Cryotherapy is an excellent treatment option where previous treatments may have failed.
Choosing a treatment for prostate cancer is not easy. Today's traditional choices include surgery, cryotherapy, radiation and hormone therapy. Each of these may be used alone or in combination. Whether you have first-time or recurrent prostate cancer, there's a good chance you're eligible for cryotherapy - as long as your cancer has not spread beyond the prostate.
We need your permission for your operation to go ahead. Before you sign the consent form it is important that you understand the risks and effects of the operation and anaesthetic. These will be discussed with you by your doctor and the nurse, should you have any questions, your nurse or doctor would be happy to answer these.
You will discuss the two options you have for anaesthetic, and your questions with the anaesthetist.
There are two main types of anaesthetic used for this surgery;
- General Anaesthetic: You will be asleep throughout the operation and remember nothing of it.
- Regional Anaesthetic e.g. Spinal, Epidural or Caudal: A needle is placed into your back and a solution is injected that will numb your body from the waist down. You will be awake but you maybe sleepy and you will not feel the operation.
You will NOT be allowed to eat or drink anything for at least six hours before your surgery. This includes chewing gum and sweets.
You must not drive any vehicle or operate any machinery for 24 hours after having an anaesthetic. You will have to arrange for someone to drive you home if you go home within 24 hours of your surgery.
The cryotherapy procedure is performed in the operating room, and the patient receives anaethsia. There is no incision; up to 14 needles are inserted into the prostate to freeze the prostate and destroy it entirely. During the procedure, the prostate and needle placement are evaluated with ultrasound imaging. Argon and helium gases circulate through the needles providing the doctor with controllable freezing and thawing capabilities. The temperature within the prostate is lowered to -40oC for several minutes, which kills all prostate cells.
In most cases, the procedure takes less than two hours.
Cyrotherapy can be performed under regional anaesthetic on an outpatient basis, but depending on your circumstances, an overnight stay may be required. Experience with the cryotherapy procedure shows minimal to no pain, and patients recover quickly. You should be able to resume normal activities soon after your cryotherapy procedure.
You will usually go home a day or two after the procedure, with minimal to no pain and experience a quick recovery.
While you are in hospital, we will do everything we can to make your stay as comfortable as possible. The nursing and medical staff are always available to help with whatever needs you have. If you are worried about anything before or after your surgery, or if you have any further questions or would like more information, please do not hesitate to contact the team at Urolology Bay Of Plenty.