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.