Patients with local recurrence (with histological confirmation) after treatment with radiotherapy or brachytherapy without evidence of distant involvement evaluated preferably with PET/PSMA (if not available then Fluciclovine PET/CT or choline PET/CT must be performed).
Life expectancy \>10 years
Prostate volume \< 100cc
PSA\<10 ng/mL
mpMRI + fusion/systematic biopsy (template suppl 1) o mpMRI ≤cT3a without affecting the bladder neck or the membranous urethra so that the continence mechanisms of the sphincter are not compromised.
You may not be if
Patients with clinically confirmed distant metastasis
Any previous major rectal surgery
Clinically significant lower urinary tract or rectal anomalies
Existing urethral, rectal, or bladder fistulae
Clareo Health | SCAP vs HIFU for Recurrent Prostate Cancer After Radiation Therapy
