Emerging needle ablation technology in urology

Raymond J. Leveillee, Karli Pease, Nelson Salas

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PURPOSE OF REVIEW: Thermal ablation of urologic tumors in the form of freezing (cryoablation) and heating (radiofrequency ablation) have been utilized successfully to treat and ablate soft tissue tumors for over 15 years. Multiple studies have demonstrated efficacy nearing that of extirpative surgery for certain urologic conditions. There are technical limitations to their speed and safety profile because of the physical limits of thermal diffusion. RECENT FINDINGS: Recently, there has been a desire to investigate other forms of energy in an effort to circumvent the limitations of cryoblation and radiofrequency ablation. This review will focus on three relatively new energy applications as they pertain to tissue ablation: microwave, irreversible electroporation, and water vapor. High-intensity-focused ultrasound nor interstitial lasers are discussed, as there have been no recently published updates. SUMMARY: Needle and probe-based ablative treatments will continue to play an important role. As three-dimensional imaging workstations move from the advanced radiologic interventional suite to the operating room, surgeons will likely still play a pivotal role in the +-application of these probe ablative devices. It is essential that the surgeon understands the fundamentals of these devices in order to optimize their application.

Original languageEnglish
Pages (from-to)98-103
Number of pages6
JournalCurrent Opinion in Urology
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Urology
Needles
Thermal Diffusion
Technology
Equipment and Supplies
Cryosurgery
Electroporation
Three-Dimensional Imaging
Steam
Operating Rooms
Microwaves
Heating
Freezing
Neoplasms
Lasers
Hot Temperature
Safety
Surgeons
Therapeutics

Keywords

  • ablation
  • electroporation
  • microwave
  • needle ablation
  • vapor

ASJC Scopus subject areas

  • Urology

Cite this

Emerging needle ablation technology in urology. / Leveillee, Raymond J.; Pease, Karli; Salas, Nelson.

In: Current Opinion in Urology, Vol. 24, No. 1, 01.01.2014, p. 98-103.

Research output: Contribution to journalArticle

Leveillee, Raymond J. ; Pease, Karli ; Salas, Nelson. / Emerging needle ablation technology in urology. In: Current Opinion in Urology. 2014 ; Vol. 24, No. 1. pp. 98-103.
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