with Dr. Glen Gejerman

Dr. Glen Gejerman presents the second edition of the Perirectal Spacing for Prostate Cancer Therapy surgery.
Clinical Background
1) Minimally Invasive procedure to create space between the prostate and the 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 Denonvilliers fascia.
Importance of excellent transrectal ultrasound quality. In both the axial and sagittal views.
Proper SpaceOAR Hydrogel injection anatomical location and technique.
Patient #1:
Patient #2:

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