Editorial comment.

Abstract

The treatment of patients that have failed radiation therapy treatment for prostate cancer is a challenging clinical situation that few urologists choose to tackle with curative therapy. The relatively low cure rates accompanied by the high side effects of treatment represent a poor trade-off for most clinicians. No technique has convincingly shown superiority over others. Nevertheless, some of these patients can be cured when appropriately selected and carefully treated. Salvage High-intensity Focused Ultrasound for Patients With Recurrent Prostate Cancer After BrachytherapyUrologyVol. 84Issue 5PreviewTo report our experience with salvage high-intensity focused ultrasound (HIFU) in patients with local failure after brachytherapy for prostate cancer. Full-Text PDF ReplyUrologyVol. 84Issue 5PreviewWe completely agree that patients with local disease recurrence after brachytherapy have very few curative options. In our series, the patients were meticulously selected, and all procedures were performed by surgeons with extensive expertise in local ablative techniques for prostate cancer. Nonetheless, the fistula rate and need for long-term indwelling urinary catheter after the procedure were significant. Noteworthy is the fact that the cases with fistulas were performed early in our experience. Full-Text PDF