Brachytherapy for Prostate Cancer
Brachytherapy has been a treatment modality for prostate cancer since the 1990’s. The technique matured over the next ten years to reach a pinnacle of excellence in the mid 2000’2 with real time dynamic feedback treatment that allowed the most accurate treatment of the gland without collateral damage to surrounding organs.
Bladder cancer treatment has been stagnant for the last twenty years. One of the standard forms of bladder cancer therapy is to instil either a drug called BCG or a chemotherapeutic agent called Mitomycin into the bladder after a tumour has been removed surgically from the bladder.
Prostate Arterial Embolisation
In simple terms this therapy which is starting to mature around the globe causes the prostate gland to shrink by obstructing the blood flow to the prostate gland. The shrinkage of the gland results in improved voiding symptoms.
At Sunninghill, we offer this service to the whole African continent. The treatment is done under local anaesthetic and is an out-patient procedure. Tiny spheres, which block the minuscule arteries within the prostate gland, are introduced via a long catheter inserted into the main leg artery. This catheter is guided through the body to the main prostate arteries.
There is no effect on sexual function, there is no effect on urinary continence and long-term complications associated with traditional TURP such as stricture formation do not occur.
The doctors involved with the unit at Sunninghill underwent intensive training from an Internationally renowned expert before starting to treat patients without supervision. The Sunninghill unit is associated with the British society for prostate embolisation and will share its date to ensure standards are continuously maintained and upgraded.
For more information follow this link: www.prostatecare.co.za
Sacral Neuromodulation is a therapy to control abnormally functioning bladder and bowels. It is also used for various forms of pelvic pain. A stimulator is implanted in the patient which sends electrical signals to the sacral nerves. The sacral nerves supply and receive input from the bladder, bowel and pain receptors of the pelvis.
The Sunninghill Unit works in close collaboration with the Pelvic and Urotherapy Institute of South Africa. This is a unique unit on the African continent that assesses and manages various types of pelvic problems. The care that patients with urinary incontinence, urinary retention, bowel incontinence and dysfunction as well as pelvic pain receive, is second to none in this state of the art unit.
Potential patients for neurostimulation are assessed very carefully by a multidisciplinary team to ensure a very high success rate of treatment of 90%. The unit has a better treatment outcome than the worldwide average which is around 70%.
Types of patients treated include those with chronic pelvic pain including
- CRPS type pain
- multiple sclerosis patients
- patients with spinal injuries
- patients with severe over active bladder and non-functioning bladders, intractable interstitial cystitis etc.
For more information please follow these links: