Orange County’s Premier Center for Urologic Health

Defeating Prostate Cancer: Tailored Treatments for Each Patient's Journey

Our diverse team of experts, each with their unique specialties, is dedicated to your well-being and beating prostate cancer…together.

With a holistic and unbiased approach, we offer personalized care to support your journey towards regaining your quality of life.

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Early Detection​

Enables targeted technology for more personalized treatment and better outcomes​

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Improved Quality of Life​​

Minimally invasive therapies allow effective treatment with less risk of side effects​

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Peace of Mind​​​

Reduces anxiety by developing a personalized plan​

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More Treatment Options

Full control with unbiased treatment options​

Symptoms to Watch For:
  • Unexplained weight loss
  • Elevated PSA levels (identified through a PSA test)
  • Difficulty initiating urination
  • Reduced urine flow
  • Bone pain
  • Erectile dysfunction
  • Blood in urine or semen
Possible Causes:
  • Aging (regular screening recommended for ages 55-69)
  • African American descent
  • Family history
  • Unhealthy diet (high in saturated fats, sugar, and red meat)
  • Obesity
Prostate Cancer Illustration with labeled bladder, prostate, tumor, and urethra.

About Prostate Cancer Treatments

While concerns about prostate cancer are completely understandable, it’s important to note that prostate cancer is highly treatable. With the most effective interventions, the majority of men can maintain active, healthy lives for many years following treatment.

Our diagnostic tools and treatment options represent the forefront of today’s medical advances, ensuring you receive the best available care. Orange County Urologic Institute offers a range of services for treating prostate cancer:

Active Surveillance

Active Surveillance is a patient-centered approach for managing low-risk prostate cancer.

Instead of opting for immediate treatment, it involves close monitoring through regular check-ups, blood tests, and occasional biopsies. This strategy allows you to avoid the potential side effects of aggressive treatments, preserving your quality of life.

It’s a thoughtful choice for those with less aggressive cancer or underlying health issues, giving you time to make informed decisions about your care.

Robotic Prostatectomy

Robotic prostatectomy is an advanced surgical option for prostate cancer treatment.

During this minimally invasive procedure, a surgeon uses a robotic system to remove the cancerous prostate gland with precision and minimal damage to surrounding tissue. This approach often results in shorter hospital stays, quicker recovery times, and reduced pain compared to traditional surgery.

Robotic prostatectomy can be an excellent choice for patients seeking a highly effective and less invasive treatment option for their prostate cancer.

Brachytherapy – Seed Therapy

Brachytherapy, also known as seed therapy, is a targeted treatment for prostate cancer.

During this procedure, tiny radioactive seeds are implanted directly into the prostate, delivering radiation to the cancer cells while minimizing exposure to surrounding healthy tissue. It’s a convenient outpatient treatment option with minimal discomfort.

Brachytherapy can be an excellent choice, particularly for patients with localized prostate cancer, offering effective cancer control while preserving quality of life.

Radiation Oncology

Radiation oncology is a non-invasive, highly effective treatment for prostate cancer.

During this therapy, focused radiation beams target and destroy cancer cells in the prostate while minimizing harm to nearby healthy tissue. It’s a preferred choice for many patients due to its minimal side effects and ability to preserve normal prostate function. Radiation therapy can be delivered externally or through implantation of radioactive sources (brachytherapy).

Your healthcare team will help determine the best radiation approach for your specific case, offering a promising option for prostate cancer treatment.

Laser Focal Therapy

Laser Focal Therapy (focal laser ablation) is an effective treatment for low-to-intermediate prostate cancer. LFT can also be used to help improve the symptoms associated with Benign Prostatic Hyperplasia (BPH).

This procedure involves placing the patient inside the MRI scanner and displaying MRI images and thermal maps on a computer screen. A thin laser fiber is guided to the tumor, and laser energy is applied to ablate or kill cancer cells.

The temperature and the extent of the ablation zone are constantly monitored with MRI imaging, allowing Urologic Institute clinicians to determine if all visible tumors have been destroyed.

Laser Focal Therapy has demonstrated proven success2:

  • < 1% erectile dysfunctioncompared to about 50% with whole gland prostatectomy
  • < 1% incontinence comparedto over 25% risk with whole gland prostatectomy

Advantages of Laser Focal Therapy

  • Minimally Invasive: A minimally invasive outpatient procedure
  • Relatively Rapid Recovery: Tends to have fewer disruptions to daily life compared with traditional treatment
  • No General Anesthesia: Uses local anesthesia and moderate, conscious sedation
  • Decreased Risk of Side Effects: LFT has a lower reported incidence of erectile dysfunction and urinary incontinence than radical prostatectomy and radiation therapy
  • Repeatable: If necessary, LFT is a repeatable procedure
  • No Limitations: If necessary, surgery and radiation are options. Radical prostatectomy was not complicated by the LFT procedure.
TULSA Pro

TULSA Pro is a customizable, predictable, and incision-free procedure that allows the doctor to tailor the ablation to each patient.

Transurethral ultrasound ablation (TULSA Pro) can more easily cover a wider area than laser focal therapy (LFT) / focal laser ablation (FLA). For patients who have a relatively larger cancer or somewhat diffuse cancer within the prostate, TULSA-PRO can cover almost the entire prostate gland in many patients.

Advantages of TULSA Pro

  • Decreased Risk of Side Effects: TULSA Pro has a decreased risk of erectile and urinary side effects compared to whole-gland therapy.2
  • Same-Day Outpatient Procedure: TULSA Pro is performed in a single session that takes a few hours.
  • Lets You Keep Your Options Open: If you are in need of future prostate care, you may either have a repeat TULSA Procedure or choose any other type of prostate therapy to address your prostate needs.3
  • Advanced Image Guidance: Directional thermal ultrasound and MR imaging with active heat monitoring.
  • Customizable Treatment Plans: TULSA Pro is customizable and personalized based on your situation and goals.
  • Shared Decision-Making: Before your TULSA procedure, you will decide with your physician on a treatment plan.

2 Hatiboglu G, Popeneciu V, Bonekamp D, Burtnyk M, Staruch R, Distler F, Radtke JP, Motsch J, Schlemmer HP, Pahernik S and Nyarangi-Dix J (2021) Single-Center Evaluation of Treatment Success Using Two Different Protocols for MRI–Guided Transurethral Ultrasound Ablation of Localized Prostate Cancer. Front. Oncol. 11:782546. doi: 10.3389/fonc.2021.782546
3 Nair, S.M., Stern, N., Dewar, M. et al. (2020). Salvage open radical prostatectomy for recurrent prostate cancer following MRI-guided transurethral ultrasound ablation (TULSA) of the prostate: Feasibility and efficacy. Scandinavian Journal of Urology, 54(3), 215-219. doi: 10.1080/21681805.2020.1752795

The Importance of Prostate Cancer Screening

Prostate cancer is a common cancer that typically grows slowly and often doesn’t require treatment. However, for a small percentage of men, this disease can be aggressive and spread quickly to other parts of the body. The only way to know if you are in a high-risk group or have prostate cancer is to get screened regularly. At Orange County Urologic Institute, our individualized approach to screening is based on your age, family history, ethnicity, and lifestyle.
Advanced Diagnostic Technologies
We are proud to offer advanced diagnostics that incorporate the four most important new technologies:
  • Urine Biomarkers
  • 3T Multiparametric MR Imaging & 3D Prostate Mapping
  • Fusion-Guided Targeted Biopsy and 3D Tumor Mapping Genomics
  • Blood Test

Prostate Cancer Diagnosis:

If your prostate screenings have indicated the presence of cancer, the next step is a biopsy to identify what type of cancer is present. At Orange County Urologic Institute, we use the most advanced technologies like MRI-guided biopsy. Targeted biopsies have been shown to improve detection of aggressive prostate cancers.1
Our state-of-the-art diagnostic approaches include:
  • MRI-guided biopsy
  • MRI/Ultrasound Fusion Guided Biopsy
Additionally, we offer genetic testing to further diagnose what type of cancer is present and to help determine the most personalized treatment approach. Positive biopsy results can be sent to reveal the underlying biology of the tumor and determine a genomic risk score. 1Siddiqui MM, Rais-Bahrami S, Turkbey B, et al. Comparison of MR/Ultrasound Fusion–Guided Biopsy With Ultrasound-Guided Biopsy for the Diagnosis of Prostate Cancer. JAMA. 2015;313(4):390-397.

Schedule an appointment today for screening or diagnosis and treatment options.

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