Urologic Oncology Program: Prostate, Bladder, Kidney

Cryosurgery Pros and Cons

Pros Cons
A minimally invasive treatment with quick return to normal activities
A relatively new modality compared to surgery and radiation therapy

Is effective in locally advanced prostate cancer like stage T3 and high grade tumors (Gleason >7)

Erectile dysfunction is relatively high after cryosurgery with partial recovery with time
Very few urinary side effects like incontinence or fistulae (<2%)
Not widely available because of new and expensive technology

Can be repeated, and does not preclude any type of future treatment like surgery

Clinical outcomes can be highly dependent on experience of surgeon and institution

Treatment of choice for salvage therapy after radiation failure
(Iodine seeds and external beam)

Difficult to do in patients with very large prostates and in patients with prior prostate surgery