Table 5. Summary of salvage cryotherapy case series studies in radio-recurrent prostate cancer.
Study | Study design | Number of patients | Median follow-up duration (months) | BCR-free survival (%) | DFS (%) | Treatment toxicity |
---|---|---|---|---|---|---|
Izawa et al., 2002 (51) | Single-center retrospective | 131 | 57.6 | NR | Overall: 40 (5-yr) | NR |
Pre-cryotherapy PSA ≤10: 57 (5-yr) | ||||||
Pre-cryotherapy PSA >10: 23 (5-yr) | ||||||
Pisters et al., 2008 (52) | Multi-center, retrospective | 279 | 21.6 | 58.9 (5-yr, by ASTRO criteria) | NR | 4.4% incontinence rates |
54.5 (5-yr, by Phoenix criteria) | 1.2% rectal fistula | |||||
Pisters et al., 2009 (53) | Multi-center, retrospective | 42 SRP (Mayo) | 93.6 (SRP) | SRP: 61 (5-yr, by Phoenix criteria)/66 (5-yr, by ASTRO criteria) | NR | NR |
56 sCryo (MDACC) | 66 (sCryo) | sCryo: 21 (5-yr, by Phoenix criteria)/42 (5-yr, by ASTRO criteria) | ||||
Williams et al., 2011 (54) | Single-center, retrospective | 176 | 89.5 | NR | 47 (5-yr)/39 (10-yr) | NR |
Exterkate et al., 2021 (55) | Single-center, retrospective | 169 | 36 | 52 (5-yr)/45 (8-yr) (by Phoenix criteria) | NR | 19% new-onset urinary incontinence |
92% new-onset ED | ||||||
6.5% persistent urinary fistula | ||||||
de Castro Abreu et al., 2013 (56) | Single-center, retrospective | 25 (focal) | 31 (focal) | Focal: 54 (5-yr) (by Phoenix criteria) | NR | New onset urinary incontinence: 0% in focal/13% in total |
25 (total) | 53 (total) | Total: 86 (5-yr) (by Phoenix criteria) | Recto-urethral fistula: one (4%) patient in the total group | |||
Li et al., 2015 (57) | Retrospective | 91 (focal) | 15 | 95.3 (1-yr)/72.4 (3-yr)/46.5 (5-yr) (by Phoenix criteria) | NR | 3.3% recto-urethral fistula |
6.6% urinary retention |
BCR, biochemical recurrence; DFS, disease-free survival; NR, not reported; yr, year; PSA, prostate-specific antigen; ASTRO, American Society of Therapeutic Radiology and Oncology; SRP, salvage radical prostatectomy; sCryo, salvage cryotherapy; ED, erectile dysfunction.