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. 2024 Jul 16;13(11):6473–6488. doi: 10.21037/tcr-24-245

Table 7. Summary of salvage IRE case series studies in radio-recurrent prostate cancer.

Study Study design Number of patients Median follow-up duration (months) Oncologic outcomes Safety outcomes
Guenther et al., 2019 (62) Multi-center, retrospective 429 (63: recurrent disease) Max 72 Overall recurrence rate: 41 (10%) patients (5-year recurrence rate: 5.6% for Gleason 6/14.6% for Gleason 7/39.5% for Gleason 8–10) Complications: mild (19.7%), moderate (3.7%) and severe (1.4%)
No life-threatening complications
Urinary continence was preserved in all cases
IRE-induced ED persisted in 3% of the evaluated cases at post-treatment 12 months
Blazevski et al., 2023 (63) Multi-center, prospective (FIRE trial) 37 29 27 (73%) patients: no local and systemic disease 7 (19%) patients: self-limiting urgency, frequency, or hematuria (Gr 1–2)
4 (11%) patients: local recurrence only 7 (19%) Gr 3 complications; urethral sludge requiring transurethral resection
6 (16%) patients: metastatic disease with a median time to metastasis of 8 months 93% of patients remained continent at post-salvage IRE 12 months
ED deterioration: from 35% to 15% (4/27)

IRE, irreversible electroporation, ED, erectile dysfunction; Gr, grade.