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










