Dr. Scionti
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  • New Fusion System Creates a Smart Prostate Biopsy

    The Scionti Prostate Center now can provide FUSION of real-time 3D ultrasound and advanced 3D MRI prostate images using the latest Artemis System. The result is a true targeted biopsy requiring FEWER BIOPSY NEEDLES.

  • Scionti Advanced HIFU Protocol

    The Scionti Advanced HIFU Protocol is based on his vast skills and experience in treating over 600 HIFU patients along with the unique techniques he developed to reduce HIFU therapy side effects.

  • Prostate Focal Therapy

    The goal of prostate focal therapy is long-term cancer control with minimal treatment side effects. For the right patients focal therapy can be an effective middle ground. I offer select patients three focal therapy options: Cryotherapy, HIFU and MRI-Guided Prostate Laser Ablation.

  • MRI Prostate 3D scanning

    The Scionti Prostate Center offers patients 3D MRI scanning capable of detecting tiny tumors that can be precisely sampled to help improve prostate cancer diagnosis, treatment and follow up.

  • 3D Prostate Mapping

    The Scionti Prostate Center can provide patients a 3D PROSTATE-MAP showing visual details of the size, location and shape of any prostate tumors, all critical information for targeting a biopsy and/or planning a prostate treatment.

  • Scionti Prostate Center of Boston

    Ablation Experience: 600+ HIFU cases & 1,000+ Cryo cases
  • Scionti Prostate Center of Boston

    Pioneer Results: A pioneer in new techniques and technology for HIFU and Cryo
  • Scionti Prostate Center of Boston

    Training and Proctoring: National teacher/proctor for HIFU and Cryo
  • Scionti Prostate Center of Boston

    Unique Protocol: Unique total care approach (Staging, Treatment and Follow up)
  • Scionti Prostate Center of Boston

    Patient Access: Praised by patients for his compassion and dedication

Kenneth Stone

Prostate Cryotherapy

  • I was diagnosed with prostate cancer in 2004.  During routine annual physicals and digital rectal examinations (DRE) in 2001 and 2002 a "ridge" had been detected on my prostate, but my urologists expressed no concern; my PSA scores were low.  When my wife and I moved to South Carolina in 2003 I wanted to establish rapport with an urologist, and with her assistance I chose Dr. Stephen M. Scionti.

    Dr. Scionti conducted a DRE on July 9, 2004, found an abnormal spot on my prostate, and recommended that a biopsy be performed.  My PSA reading at that time was 2.2, down from 2.9 the previous year. A biopsy on July 20 confirmed the presence of cancer in the right lobe of my prostate, Gleason score of 6 (3 + 3).  Magnetic resonance imaging (MRI) followed and confirmed that the cancer had not spread beyond the gland. 

    I had read that prostate cancer was the second most common form of cancer in men, second only to skin cancer, that there was a 50% chance of developing some form of cancer during one's lifetime, and that the incidence almost doubled every 10 years after age 40.  While I was not exactly pleased that I had become a statistic, it did not greatly surprise me considering the odds.  "Why not me?" crossed my mind instead of "Why me?" I decided that I would deal with the situation in a positive manner.
     
    My wife and I met with Dr. Scionti on August 2, 2004 to discuss available therapies, e.g., radiation, radical prostatectomy, transurethral resection, hormone, chemo, and the various combinations thereof, along with the side effects associated with each therapy. I did not feel comfortable with the side effects associated with these therapies.

    We also discussed cryoablation and its potential side effects and I felt a little more comfortable.

    Research on the Internet helped me to confirm that cryoablation would best suit my situation, and my wife agreed.  I (we) made my decision in a rational, clinical manner, and without a lot of anguish.  I called Dr. Scionti to tell him what I had decided, and on August 9 he started me on short-term hormone therapy to reduce gland size.  He indicated that the effects of the hormone would take a few months to wear off.  An ultrasound on September 29 confirmed that the prostate was shrinking in size as expected.  Cryoablation was scheduled for October 20, 2004.

    The procedure was conducted in the hospital outpatient clinic on October 20 as scheduled, and since I arrived early in the morning I was released in the afternoon. The procedure was successful and Dr. Scionti was able to save the nerve bundle on one side. I went home wearing a supra-pubic catheter that proved to be more of a psychological inconvenience than a physical one, and I was very pleased when it was removed a week later.  Normal urinary function returned upon removal, and I had no instances of incontinence.  I took an antibiotic for several days after the treatment, but I did not require any pain medication. I was bruised and swollen for two to three weeks and had some perineal tenderness.  I feel that my recovery was very rapid, and I'm slowly regaining potency. I have had two follow-up visits as of this writing, and my PSA levels have measured less than 0.1. I feel great and my energy level has increased.

    I know that many men are reluctant to talk about personal matters such as prostate cancer, and years ago I might not have been as open.  I strongly recommend that PSA and DREs be a routine part of all men's physicals.

    I would advocate that cryoablation become the standardized treatment for localized prostate cancer.

    Curriculum vitae:

    • 67 years old at time of procedure
    • Retired AT&T
    • South Carolina


    Treatment history:
    Initial diagnosis: July 2004
    PSA: 2.2
    Biopsy: Positive
    Gleason grade: 6
    Initial treatment: Cryotherapy October 20, 2004
    Results: Two follow-up visits, PSA less than 0.1

     

 

Latest News

  • Dr. Scionti Good HIFU News From England drscionti1.png

    Good HIFU News From England

    One of the oldest and most respected medical publications is the British weekly journal, The Lancet. With its peer-reviewed articles, it is arguably the finest reporting of evolving medical research and wisdom. To paraphrase an advertising slogan, "When The Lancet speaks, doctors listen."

    Click here

  • Dr. Scionti Using Fusion To Create A Smarter Prostate Biopsy drscionti1.png

    Using Fusion To Create A Smarter Prostate Biopsy

    By Stephen Scionti, MD

    A few years ago I started working with a new device named Artemis, named for the ancient Greek goddess of hunting. This technological breakthrough provided 3D advanced ultrasound technology that helped me to better plan, navigate, and record each prostate biopsy.

    > Read more about Using Fusion To Create A Smarter Prostate Biopsy

  • Dr. Scionti A Word About Cryotherapy drscionti1.png

    A Word About Cryotherapy

    I am committed to offering patients an alternative to radical surgery and radiation by performing minimal-to-noninvasive ablation (destruction) of prostate tumors.

    Read more