26-02 Xaiosong Meng, MD PhD "Focal Therapies"
Автор: Prostate Forum of Orange County
Загружено: 2026-02-28
Просмотров: 28
Описание:
Focal Therapy for Prostate Cancer: Tulsa, IRE (NanoKnife), and HIFU — What Patients Should Know
In this Prostate Forum of Orange County education session, Dr. Meng (UT Southwestern Medical Center) explains modern focal therapy options for localized prostate cancer, including TULSA-PRO (MRI-guided transurethral ultrasound ablation), irreversible electroporation (IRE / NanoKnife), and high-intensity focused ultrasound (HIFU).
Dr. Meng discusses how focal therapy fits between active surveillance and definitive treatment (surgery or radiation), who may be a good candidate, expected outcomes, risks, and the importance of careful patient selection and follow-up.
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Topics Covered
• Prostate cancer risk groups and Gleason Grade Groups
• Active surveillance: benefits and limitations
• Side effects of surgery and radiation (urinary, sexual, bowel, hormonal)
• What focal therapy aims to achieve
• Candidate selection and follow-up requirements
• TULSA-PRO procedure, outcomes, and retreatment rates
• Irreversible electroporation (IRE / NanoKnife) — FDA approval and clinical results
• High-intensity focused ultrasound (HIFU) evidence and outcomes
• Micro-ultrasound imaging for prostate cancer detection and treatment guidance
• How physicians choose among focal therapy options
• Post-treatment monitoring and recurrence risk
• Treatment regret and quality-of-life outcomes
• Q&A on PSMA PET imaging, biomarkers, and emerging research
Speaker: Dr. Meng, Assistant Professor, UT Southwestern Medical Center
Host: Prostate Forum of Orange County
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Chapters
00:00 Welcome and introduction
02:00 Prostate cancer risk groups and Gleason scoring
05:30 Active surveillance outcomes
11:30 Side effects of surgery and radiation
16:40 Goals of focal therapy
19:30 Patient selection for focal therapy
22:00 Overview of focal therapy technologies
24:30 TULSA-PRO procedure and outcomes
34:30 Irreversible electroporation (IRE / NanoKnife)
42:00 Micro-ultrasound imaging
49:30 HIFU evidence and outcomes
56:00 Choosing the right focal therapy approach
01:03:00 Post-treatment surveillance
01:06:30 Treatment regret research
01:11:30 Audience Q&A
01:22:30 Closing remarks
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About Prostate Forum of Orange County
Prostate Forum of Orange County is a nonprofit, patient-focused prostate cancer support organization serving Southern California and beyond. We provide free prostate cancer education, treatment information, and patient support through live Zoom meetings on the 2nd and 4th Tuesday of each month at 5 PM Pacific, featuring leading urologists, oncologists, radiologists, and prostate cancer specialists.
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Disclaimer
This video is for educational purposes only and is not medical advice. Always consult your healthcare provider before making treatment decisions.
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