Cryotherapy Procedure | ||
Cryotherapy is the freezing of the prostate
gland by percutaneous placement
(through the skin) of several Cryo-probe needles
inside the prostate, guided by a rectal
ultrasound and computer software. These Cryo-probes
will deliver Argon gas producing a Cryo-biological
phenomenon that will form micro-crystals of
ice
inside the prostatic cells.
The ice formation will break the nucleus
and cell membranes, destroying the cancer and
non- cancer cells, and will freeze to death the
prostate gland to the temperature of minus
20-40 degrees Centigrade in a matter of minutes,
regardless of the Gleason score.
Thin
temperature probes, the blue-colored probes
shown in the picture below, are also placed around the
prostate to monitor the freezing temperatures by
computer to protect neighboring organs. |
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During this procedure, the canal of the urethra that brings the urine from the bladder to the penis is protected during the freezing process by a warm special catheter.
All of the changes of the prostate, second to
second, can be seen live on the ultrasound
screen. The formation of ice and all the cryo-biological
phenomenon will change the color
of the prostate on the screen to completely black in 8 to 10
minutes, indicating ice formation. Once this is achieved, the prostate is
defrosted in a few minutes by passage of Helium
gas through the same Cryo-probes. A second cycle
of freezing and defrosting is performed.
At the
end of the procedure, the Cryo-probes and temperature
probes are removed. |
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Before Cryotherapy Transverse View of Prostate |
Freeze on Progression Ice ball forming |
Completion of Freeze a |
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