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interview with dr Michael Bedecs, patient at the Sperling Prostate Center
An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. There are now treatments for a variety of conditions that cause pain in men. A common surgical procedure involves an electrical loop, laser, or electrical stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
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What treatments are used in focal therapy for localized prostate cancer?
Focal therapy uses ablation, which uses extreme temperatures to destroy tissue. In focal ablation, the entire prostate is not treated, but rather the area of the prostate containing the index lesion. Focal ablation techniques include:
- Cryotherapy: The use of very cold gases passed through needles to freeze and destroy cancerous tissue.
- HIFU: The use of high-frequency sound waves directed at the tumor through an ultrasound probe inserted into the rectum. The high-intensity waves cause the diseased tissue to heat up and die.
- : A drug called a photosensitizer is injected into the bloodstream. This drug then absorbs light rays aimed at the tumor and produces an active form of oxygen that destroys cancer cells.
- Laserablation: The use of laser radiation energy, confined to a very small area, to burn cancerous tissue. Some laser ablations have the advantage that they can be performed simultaneously with magnetic resonance imaging, allowing for very specific targeting and also real-time views of the results.
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Strategic alliance brings together talent technology in prostate tumor detection surveillance treatment
New York, NY, March 22, 2012
Pioneer Zubair Kazi and Dr. Sperling have formed a strategic alliance in the field of convergent biotechnology for the detection, monitoring and treatment of prostate cancer in the United States. Mr Kazi and Dr. Sperling will be co-sponsoring an event to announce more details in the near future. Certification training programs are established for research and development. The Kazi Sperling Convergent Biotech joint venture will join the Advanced Medical Technology Association and adopt its revised and restated code of ethics for interactions with healthcare professionals. While future advances in medical technology depend on the ongoing interaction between physicians and medical technology companies, this alliance recognizes that the primary duty of healthcare professionals is to act in the best interests of patients. Beneficial collaborations can serve the interests of patients, and this endeavor ensures that the relationship meets high ethical standards by being conducted with appropriate transparency and in accordance with applicable laws, regulations, and government guidelines. The Alliance is now working to formally adopt the AdvaMed Code and implement an effective compliance program.
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What is focal therapy for localized prostate cancer?

Focal therapy is a treatment for prostate cancer of low to moderate aggressiveness that is completely enclosed within the prostate.
For many years, there have been two main approaches to treating localized prostate cancer. The first is active surveillance or watchful waiting. In older men or those at low risk, regular medical tests are done to make sure the cancer isn't spreading. No further action is taken because the cancer is stable or growing so slowly that it doesn't cause problems right away. If tests show the cancer is spreading, treatments can begin. About a third of the men assigned to active surveillance eventually require surgery or radiation.
The second approach to treating localized prostate cancer has been to use radiation or surgery. This is effective for removing existing tumors, but is typically associated with urinary, sexual, and bowel function side effects. Two common side effects are loss of urinary control and erectile dysfunction
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Clinical study underway for Mri
Sperling Medical Group is pleased to be enrolled in a Phase 2 and 3 clinical trial entitledFocal ExAblate MR-guided focused ultrasound treatment for the treatment of moderate-risk, organ-confined prostate cancer.
MRgFUS is the integration of two breakthrough technologies into a precise, non-invasive treatment that destroys the tumor while sparing healthy structures.Real-time MRIprovides clear visualization of the anatomy and tumor with thermometry to monitor precision and effectivenessfocused ultrasoundused to ablate the tumor, no surgery, no radiation.
The expected benefits of this treatment are:
- Low complication rate
- Non-invasive treatment, patients back to their lives within a day or two
- Non-ionized radiation
Sperling Prostate Center Joins Mr
DELRAY BEACH, Florida, 2. Mai 2017 /PRNewswire-USNewswire/ — DieProstatazentrum Sperlingis pleased to announce its participation as a new study site for a clinical trial of MR-guided focused ultrasound for the focal treatment of localized low- and intermediate-risk prostate lesions. They're recruiting patients now.
The Sperling Prostate Center is a diagnostic and treatment center with locations in Florida and New York City. The center is led by Dan Sperling, M.D., D.A.B.R. a renowned expert in the use of magnetic resonance imaging technology to diagnose and treat prostate lesions.
"We are pleased to participate in this study to evaluate MR-guided focused ultrasound as a non-invasive and radiation-free treatment option for prostate cancer patients who may currently be on watchful waiting or actively monitored," said Dr. Sparrow.
of MulticenterFDA approved clinical studyis sponsored byEINBLICKEC, the developer and manufacturer of the Exablate Prostate System.
The Exablate Prostate System is based on INSIGHTEC's proven MRI-guided focused ultrasound technology, which received CE Mark in December 2016. It uses focused ultrasound waves to precisely ablate the identified prostate lesion. Treatment is performed under MRI for visualization of the patient's anatomy as well as real-time temperature monitoring. The treatment requires no incisions and is performed in a single session, allowing patients to quickly return to normal activity.
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The Sperling Medical Group - patient care first
Symptomatic treatment of an enlarged prostate usually involves a combination of medications and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It helps the body adapt to the enlarged prostate. Regular urination also helps retrain the bladder to function properly. Inactivity also contributes to urinary retention, and cold temperatures can increase the urge to urinate.
Invasive treatment of an enlarged prostate involves drugs that reduce pressure on the urethra and bladder. However, if the condition is severe, surgical intervention may be necessary. If treatment is unsuccessful, the enlarged prostate can become a potentially life-threatening condition. As hormone levels change in the body, the enlarged prostate can lead to various complications, including urinary retention and even cancer. For this reason, it is important to see a doctor for further evaluation.
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Welcome to the Sperling Prostate Center
Our advanced diagnostic and treatment systems in Florida provide efficacy and quality of life unattainable with traditional methods. Our patients experience minimal side effects, low recurrence rates and virtually no risk of incontinence or impotence.
OurMRI-guided detection methodsUse the world's most advanced 3T MRI system together with multi-parametric software to create a vivid 3D prostate map showing a 360° view of the gland and any irregularities. This technology allows us to perform more accuratelybiopsieswith up to 80% fewer needle samples than traditional biopsies.
Patients also have access toepigenetisches Screeningthat detects DNA changes associated with prostate cancer, making the biopsy more effective and meaningful.
If a tumor is discovered, our prostate laser center offers a revolutionFocal laser therapy for prostate cancerwhich drastically reduces the risk of impotence and incontinence associated with conventional treatments. This minimally invasive outpatient procedure eliminates tumors in a single hour-long treatment, leaving patients back to normal the next day. Focal laser therapy also offers superior therapy forbenign prostatic hyperplasia or BPH.
Who are good candidates for focal therapy?
When focal therapy was first used in prostate cancer around 2007, it was just an alternative to active surveillance in very low-risk patients. Since then, the use of focal therapy has expanded to favorably intermediate-risk patients. The best candidates have a prostate about 40 cc in size or a tumor in the lower half of a larger gland, a single tumor visible on MRI, and the absence of cancer elsewhere in the gland.
In each case, the doctor will consider the patient's general health and mental state, the size and location of the tumors present, and their likelihood of further spread. Using tests such as MRI, ultrasound, and biopsy can help decide whether a patient will benefit more from focal therapy or traditional treatments.
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A survey by healthcare actuaries of 100 patients undergoing focal laser ablation
Background: Until recently, newly diagnosed PCa patients were often faced with an all-or-nothing choice. Assuming there was no evidence of extracapsular spread, the patient was told to have either definitive treatment, which includes a prostatectomy or some type of radiation, or active surveillance, which involves indefinite monitoring of the situation , could have. For men with more aggressive PCa, option 1 would be suggested, perhaps in combination with androgen deprivation therapy. Option 2 Active surveillance may be considered in patients with low risk factors, including Gleason score 6.
What about low-to-intermediate risk men? The prostate cancer intervention-versus-observational study has not shown a statistically significant improvement in longevity based on 12 years of follow-up. “The likelihood of recurrence is significant according to the meta-analysis of over 31,000 prostate studies conducted by the Prostate Cancer Results Study Group chaired by Peter Grimm, DO, Seattle, WA. And there is almost certainly a reduction in quality of life due to risks of impotence, pad wear, and other side effects and complications. Option1 is clearly overtreatment for these men.
But what about option 2? The urologist is often unsupportive and there is concern that AS could lead to progression and metastasis. As such, Option 2 is seen by many as undertreatment.
2) Patients are well educated, from a higher socioeconomic group, and are of low to intermediate risk
What can be expected after treatment with focal therapy?

Patients who are treated with focal therapy must also be actively monitored afterwards. This includes monitoring for diseases that may have gone undetected, have returned, are spreading or are emerging. If follow-up tests show that some of the treated cancer is still there, additional ablation, surgery, or radiation may be needed.
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What is focal laser ablation?
patient dr Michael Bedecs tells his story
Laser ablation creates intense heat that completely surrounds the target area. Under real-time MRI guidance, a special optical fiber is guided right into the core of the tumor. When activated, the laser emitted at the tip of the fiber destroys the tumor within minutes, while a special trace called thermometry confirms the correct temperature. After that, multiparametric MRI scans show that the destruction is complete, and the laser fiber is removed.
Did you know that focal laser ablation can relieve symptoms of BPH?
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Surgical interventions are usually necessary to remove the diseased prostate. Surgical interventions are not always necessary. If the disease is caused by bacterial infections, a doctor may treat symptoms with alpha-blockers or surgery. Physiotherapy, relaxation exercises and warm baths are recommended. A doctor may also prescribe antibiotics to cure the infection. Bacterial infection can also cause the disease to come back.
An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive system include a weak stream of urine, urinary urgency, and urinary tract infections. BPH can also damage the kidneys. A sudden inability to urinate can be life-threatening as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostates endure the symptoms for years before seeking treatment. However, many of the men with symptoms eventually decide to see a doctor for a proper pelvic exam and to begin prostate enlargement therapy.
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The first causes of where Sperling's prostate center is located
One of the first symptoms of prostate problems is pain or tenderness in the groin or lower back. This can be the result of a benign condition called enlarged prostate tissue, or it could be an infection of the bladder. In any case, it is important to see a doctor as soon as possible. If you suffer from prostate pain, you should consider reducing your caffeine consumption.
Another symptom of a possibly enlarged prostate is difficulty in starting, licking, or dribbling a stream of urine. These symptoms are not serious, but are alarming nonetheless. Most men endure an enlarged prostate for years before seeing a doctor, but they usually seek treatment as soon as they notice symptoms. Even if you don't have any symptoms, it's still worth getting checked out to see if you have prostate problems.
If you use the toilet at night, you may have an enlarged prostate. You may have trouble starting a stream of urine, or you may even dribbling or leaking during the day. These problems are not life-threatening, but they can become annoying. You should not ignore these signs and seek treatment as soon as you notice them. If you notice any of these symptoms, you should see a doctor.
The initial causes Sperling Prostate Center
Dr. Dan Sperling-Interview
One of the first symptoms of prostate problems is pain or tenderness in the groin or lower back. This can be the result of a benign condition called enlarged prostate tissue, or it could be an infection of the bladder. In any case, it is important to see a doctor as soon as possible. If you suffer from prostate pain, you should consider reducing your caffeine consumption.
Another symptom of a possibly enlarged prostate is difficulty in starting, licking, or dribbling a stream of urine. These symptoms are not serious, but are alarming nonetheless. Most men endure an enlarged prostate for years before seeing a doctor, but they usually seek treatment as soon as they notice symptoms. Even if you don't have any symptoms, it's still worth getting checked out to see if you have prostate problems.
If you use the toilet at night, you may have an enlarged prostate. You may have trouble starting a stream of urine, or you may even dribbling or leaking during the day. These problems are not life-threatening, but they can become annoying. You should not ignore these signs and seek treatment as soon as you notice them. If you notice any of these symptoms, you should see a doctor.
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What you need to know about Sperling's Prostate Center
An enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlarged prostate may experience pain in the lower abdomen and genitals. If pain is present, a digital rectal exam will show hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.
While the size of an enlarged prostate affects the extent of urinary tract symptoms, men can experience a number of urinary tract symptoms. Some men have minimal or no symptoms. Some men have a greatly enlarged prostate, while others have a slight enlargement. In general, symptoms may stabilize over time. Some men have an enlarged prostate but don't realize it. If you have an enlarged colon, your doctor may perform a TURP procedure.
Sperling Prostate Center Release: Focal laser treatment for prostate cancer has few to no side effects
NEW YORK, June 16, 2015 /PRNewswire-USNewswire/ -- New data shows that MRI-guided targeted ablation of prostate cancer using a laser fiber is 96% effective and has no urinary or sexual side effects. According to the Sperling Prostate Center, this is a "game changer" for prostate cancer patients.
dr Dan Sperling, Medical Director of the Sperling Prostate Center and leading pioneer of focal laser ablation of the prostate, states, “FLA is an answer to what men want. With over 500 patients treated at our center, we can confidently say that FLA holds the most promise for fighting cancer, with less than a 2% risk of side effects. There is no surgery or radiation, and no other treatment can match the laser's ability to preserve urinary and sexual function. If needed, all future options, including repeat FLA or whole gland therapies, remain open.”
The respected magazineEuropean urologycontains the latest research report from the NYU School of Medicine and the Sperling Prostate Center. There was no urinary incontinence at any time point in the 25 consecutive patients with a low to intermediate cancer risk. Within 3 months, all men reported a return to pre-treatment sexual function. Follow-up needle biopsies showed no cancer in 96% of treated tumors.
About the Sperling Prostate Center
The Sperling Prostate Center is the premier US center for multiparametric 3T detection, diagnosis and image-guided focal treatment of prostate cancer.www.sperlingprostatecenter.com
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