Mr Marc Laniado

Mr. Marc Laniado: When I see you in my clinic, I will review all of your **diagnostic results**, including: - **PSA levels** - **MRI scan findings** - **Prostate biopsy results** ### **How I Make a Treatment Decision** I integrate all of these results to: 1. **Categorize your cancer’s risk level**. 2. Determine whether your tumor is **suitable for focal therapy**. 3. Decide if the cancer is better treated with **whole-gland options** like **surgery or radiotherapy**. ### **The Importance of Patient Preferences** Your **personal priorities** are essential in choosing the right treatment. I will ask: - **Do you prioritize cancer cure above all else?** - **Are you willing to trade a small amount of certainty for a better quality of life?** - **Is preserving erections, bladder control, and avoiding bowel problems important to you?** By understanding **both the medical data and your personal values**, we can find the **best treatment approach for your specific needs**.

Mr. Marc Laniado: At **The Focal Therapy Clinic**, we perform **focal therapy using MRI fusion**, which significantly improves **treatment accuracy**. ### **Why MRI Fusion Matters** - We use **real-time MRI guidance** during treatment to **precisely target the cancer**. - This ensures we treat **the cancerous area and a surrounding margin**, reducing the risk of recurrence. - As a result, **our one-year success rates are excellent**—**over 90% of men are cancer-free** based on **MRI and PSA criteria**. ### **Long-Term Success of Focal Therapy** - Looking at global data, **focal therapy (often without MRI fusion) has been shown to delay or avoid radical treatment**. - **75–80% of men remain free from needing surgery or radiotherapy for 6–10 years after treatment**. - This means that **4 out of 5 men successfully avoid radical treatment while maintaining cancer control**. These **strong results** highlight the **effectiveness of MRI-guided focal therapy** in providing **precise, minimally invasive treatment with excellent long-term outcomes**.

Mr Marc Laniado: When deciding which type of **focal therapy** to use, the main factor is **tumor location**. - **Tumors at the back** of the prostate, near the rectum, are typically treated with **HIFU**. - **Tumors at the front** of the prostate are usually treated with **NanoKnife or cryotherapy**. The choice of treatment is **not** based on differences in effectiveness or side effects, as all these focal therapies offer similar cancer control and safety profiles. Instead, the decision is driven by the ability to **accurately deliver the treatment energy** to the tumor’s location. It’s all about selecting the right technology for the **specific position of the tumor** within the prostate.