ExactVu system, micro-ultrasound of the prostate for prostate cancer diagnosis

Last December 2017 we tried for the first time the ExactVu system of high resolution microultrasound of the prostate for the diagnosis of prostate cancer.

It is a sophisticated high resolution ultrasound (conventional transducers for transrectal ultrasound imaging have 7 MHz, but this has a 29 MHz probe), that improves radically our ability to detect subtle anatomical details in the prostate.

After studying carefully what this technology can add to the diagnosis of prostate cancer, we have decided to adopt it at ICUA-Clinica CEMTRO, to make it available for our patients.

We believe it can be a very nice companion to 3 Tesla Multiparametric MRI and that it can be of great help in paitents who do not tolerate MRI or in which MRI is non conclusive. In some of the cases we performed we could see lesions that the MRI had not even seen and on biopsy there was a tumor lesion.

It is a costly technology, but we believe it will help us detect prostate cancer even earlier in men and thanks to that, improve the chances of cure in our patients.

Many other high level centers are also adopting this technology, and the data published to date is extremely positive.

A very interesting tech that can be better known at the website of exact imaging.

First cases of Prostate Aquablation in Spain

This december we had the opportunity to try for the first time in Spain the Aquablation system, from
Procept Biorobotics for the treatment of BPH.

It is a robotic system that uses a very powerful water jet to deobstruct the prostatic urethra, and it does that in just 5 minutes. The patient is awake, tipically under spinal anaesthesia.

It needs some preparation, but it is surprising to see how fast one can treat prostates of all sizes in such a reduced time.

The main advantage of this system is that 90% of men treated preserve the ability to ejaculate normally.

This is why this technology is very interesting, as many men that need to face an operation for BPH would like to preserve ejaculation, that is tipically affected by other surgical techniques.

More info in spanish here, or watch our video below.

Focal treatment for localized prostate cancer

I Spent this weekend in Paris participating in the ESU-ESUT-ESUI course on Focal therapy for localised prostate cancer.

It is interesting to see how this concept is gaining ground around the world, and evidence to support its use is acumulating. It was interesting to explore this option of management for very selected patients. The information obtained from MRI-Ultrasound fusion biopsies is allowing us to better select the patients who will benefit from this approach.

A very interesting course in Paris!