Interventional radiology uses advanced imaging techniques to help guide procedures. These procedures are minimally invasive and only require small incisions. Compared to surgery, minimally invasive procedures generally result in less pain and faster recovery.
At Weill Cornell Medicine, interventional radiologists use these techniques to help diagnose and treat conditions related to the prostate, including cancer. Our services include:
• Prostate artery embolization
• Prostate fusion biopsy
• Focal therapy for prostate cancer
• Renal mass biopsy
• Kidney cancer ablation
• Renal mass embolization (for kidney cancer and renal angiomyolipoma)
• Varicocele Embolization
Why Choose Weill Cornell Medicine?
Weill Cornell Medicine is a leader in the field of interventional radiology, with a long tradition of expertise, innovation and leadership. We are especially skilled in minimally invasive procedures, which eliminate the need for open surgery and allow for shorter and less painful recovery times.
Our physicians also offer personalized care, tailoring your treatment to your medical history, lifestyle and wellness goals. Often, we work as part of a team of specialists, ensuring that you receive the most expert and comprehensive treatment possible.
Prostate Artery Embolization
Benign prostatic hypertrophy (BPH) is the enlargement of the prostate. This condition can significantly impact a man’s quality of life.
Signs you may have BPH include a set of symptoms collectively called lower urinary tract symptoms (LUTS). LUTS includes difficulty going to the bathroom or urinating at a frequency that impacts your daily life.
Prostate artery embolization (PAE) is a non-surgical, minimally invasive procedure that can be used to treat BPH.
During this procedure, interventional radiologists use a small catheter (less than 1 mm) to identify the artery supplying blood to the prostate. This catheter is then used to block blood supply to the prostate. This blockage shrinks the prostate and helps improve LUTS.
Prostate artery embolization is endorsed by the Society of Interventional Radiology as a treatment option for men with LUTS secondary to BPH.
Weill Cornell uses the most advanced imaging techniques to improve the accuracy of embolization and to reduce the amount of radiation needed to perform these procedures. Contact us today to schedule an appoint to see if this procedure is an option for you.
Prostate Fusion Biopsy
Many men undergo a biopsy to check for prostate cancer after doctors discover elevated levels of prostate specific antigen (PSA). PSA is a protein secreted by the prostate gland. Those with prostate cancer may have elevated levels of this protein.
Historically, doctors would test for prostate cancer by collecting tissue samples through a transrectal prostate biopsy, in which prostate samples are taken through the rectum. These biopsies were done blindly and did not specifically target an area of the prostate.
At Weill Cornell Medicine however, we offer fusion biopsy, which is safer and more accurate. This procedure takes advantage of advances in medical imaging to target areas of concern that warrant a biopsy. If our doctors identify an area that requires further scrutiny, they use a combination of ultrasound and magnetic resonance imaging (MRI), to hone in on the area.
Fusion biopsy also uses a transperineal approach, which means prostate samples are taken through the skin.
Comprehensive, Compassionate Care
The work up of an elevated PSA and a prostate biopsy can be a stressful process. At Weill Cornell Medicine, our interventional radiologists, in partnership with our urologists, work hard to provide our patients with a safe, accurate, comfortable, and timely work-up.
• Our prostate MRIs are interpreted by leaders in the field ensuring that we have excellent imaging to help guide our biopsy.
• Biopsies are done with sedation which helps ensure that you as a patient have a comfortable and safe biopsy.
• We offer same day prostate MRI, consultation, and biopsy for patients who want a fast and timely work-up for an elevated PSA.
Focal therapy in the management of prostate cancer is an emerging treatment option in a select group of men with prostate cancer. The concept of focal therapy is to use an ablative technique to destroy the prostate where there is prostate cancer.
Techniques which are used in focal therapy include:
• High intensity focused ultrasound (HIFU)
• Irreversible electroporation (IRE).
We believe in focal therapy as a treatment option for select patients with prostate cancer and are involved with clinical trials exploring its use.
For more information about focal therapy, including whether it is right for you, contact us today.
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