Irreversible Electroporation of prostate (nano knife)

  • 4 replies
  • 191 subscribers
  • 245 views

I recently posted saying that I had been lucky enough to have been offered Nano knife surgery. I had the day procedure on the 17th of December. I had to have a Catheter for 5 days, which was probably the worst part. I had blood in my Urine etc for a couple of weeks after the catheter was removed. My flow has been greatly improved I now pee like a 30 year old not a 70 year old. On Monday March 16th, I had my first PSA test since the operation. Before the operation my PSA was 17.5, now it is 3.71, that is within the normal guidelines of up to 4.5. 

There are other treatments out there, especially if the disease is caught in time. This was a non intrusive treatment and has given me no side effects. I can reasonably believe that they targeted the cancer and treated it properly by the test results. I will be monitored by PSA and a MRI after 12 months to check.

The procedure was Nano knife and not HIFU because of where the cancer was on the prostate. The cancer was bilateral so they went in from the perineum with 4 needles to surround the cancer, targeted by a camera up the bum. They then gave it 3000 volts.

Please look for alternatives and don't accept surgery or radiology as is pushed and was pushed on me, until I argued with the surgeon, so he referred me to another hospital to get rid of me. I then found a great man who spoke to me in a normal manner and explained everything. He offered me all the alternatives and never pushed me, so I was confident to go ahead with him. I am pleased I did. 

  • Hi  , that’s a great experience and thanks for recording it so others might be helped.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • I second that. 

    To set against it, there are some places where I would be nervous about 3000 volts...

    Steve

    Changed, but not diminished.
  • Good to hear of your positive experience Kezzer.  Were both your lesions visible on MRI?  I too have bilateral cancer but only one lesion is visible on MRIs. I am considering Nanoknife. You say your peeing has improved- did they do anything else at the same time or is the thinking that zapping part of the prostate also reduced pressure on the urethra?  I am retaining a lot of urine and that is a more pressing issue than my cancer at present. Was your procedure private or NHS?  Thanks,

  • You are lucky, I didn't see a consultant in the flesh, two ten minute consultation by a near me video link, when I asked to be treated at my nearest hospital I was told.

     Here in Scotland we do have a post code lottery, you can only be treated in your post code area unless the hospital decide otherwise.

    I was offered 2 years hormone therapy with 20 radiotherapy sessions.

    My local GPs were a godsend helping me though what was for me, a very fit 76yo, a really trying and confusing period of my life.

    Now just over 2 years later I am not the man I was before being diagnosed with PC.

    I fell down some icy steps and hurt my hip, seeing the doctor he suggest a PSA test was needed a week later I was having all the tests needed, a biopsy, a bone scan, My PSA test gave a reading of 6.1 if I remember right, the cancer had just broken though the PC next to my rectum.

    Radiotherapy targeted the cancer and two lymph nodes, apart from needing to the he loo so many times, seems my bladder was bigger than normal and they had me drinking 1800ml of water while everyone else was on 600ml.

    The Radiotherapy hasn't caused me many problems, what did was the 2 years on hormone therapy, now coming up to 78 zi a. but a shadow of what I was two years ago, lost two stone in weight, a lot of muscle and have problems now with my blood pressure.

    Lifting more than 10kg is a problem, I rode my motorcycle last year but it's looking like it may be a problem this year. 

    My mental health took a dive, but with help from my GP and the wonderful people running a Macmillan group ever month I think I have come through that okay.

    All I have got to do now is regain some of my strength, I asked my doctor if it was more than PC that had changed my life, was it old age, for a while she just smiled and changed the subject but a couple of weeks ago I asked her again, with a big smile she nodded and said yes.

    My reply was they should teach children about getting older and about death. 

    Today the sun's shining our new PV panels and batteries are paying for our electric  today, here in Scotland aged over 75 you can get an ASHP, radiators, PV panels inverter and batteries just by filling in  few forms, at my age everyone qualifies, no restrictions on wealth or housing, it cheered me up a lot, first time I have got anything of the government. 

    Things are getting better but now it's a race against time., what a traumatic two years it's  been my thanks go out to the NHS and all it's wonderful people, to my neighbours and the Macmillan group and this forum for listening to my worries and troubles and helping me see though my treatment and ongoing sanity

    My wife and four boys gave all been so supportive in everything I've gone though.

    It's a shock and why me, a fall done icy steps changed my life for everyone but who knows I had PC but no symptoms at all. We still don't put grit or salt on those steps, just in case there is anything out there wanting get me.

    Love to every one.