Dr. Preston C. Sprenkle performs a Perirectal Spacing for Prostate Cancer Therapy surgery to a 72 years old male using the SpaceOAR™ Hydrogel.
Clinical Background
1) Minimally Invasive procedure to provide space between the prostate and anterior wall of the rectum prior to radiation therapy for prostate cancer
2) Transrectal ultrasound visualization to guide the procedure
3) Hydro dissection to open the space prior to the SpaceOAR Hydrogel injection
4) Preparation of the SpaceOAR Hydrogel kit
5) Injection of the SpaceOAR Hydrogel between the prostate and rectum
Technique Description
1) Patient preparation Including local anesthesia application and patient positioning
2) Prostate fiducial marker placement
3) Hydro dissection procedure
4) SpaceOAR Hydrogel kit preparation
5) SpaceOar injection
Know prostate volume ahead of time
Proper anesthesia technique for an outpatient procedure
Take time to ensure needle placement below the Denonvilliers fascia
Importance of excellent transrectal ultrasound quality in both the axial and sagittal views
Proper SpaceOAR Hydrogel kit preparation
Proper SpaceOAR Hydrogel injection anatomical location and technique
72 y.o. male with cT2b Gleason 4+3(7) prostate cancer, PSA 12.4
MRI of the prostate on 8/13/19 identified a 1.3 cm PIRADS 5 lesion in the left base to mid medial posterior peripheral zone
Prostate biopsy identified Gleason 4+3(7) prostate cancer in four cores and Gleason 3+4(7) prostate cancer in three cores
IPSS 15 (global 3), SHIM 10
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