Prostate Cancer Treatment: Hadassah Clinic Advantages

Hadassah offers to prostate cancer patients such a high level of treatment that no other medical center in Israel can offer. Many of the procedures carried out in Hadassah can be found only in a few clinics in the whole world


Hadassah is the only clinic in Israel where THULIUM, the most powerful medical laser is available. It is a procedure used to remove prostate since 2016. Such operations are less traumatic and harmful and can reduce the patient's hospital stay from three days to one. The procedure is carried out by Prof. Ofer Gofrit and Prof. Dov Pode who studied the application of this technology in Frankfurt (Germany) under the guidance of leading European experts in this field.

To know more about the unique and advanced methods of treating prostate cancer in Hadassah or to book an appointment with Prof. Gofrit, Prof. Pode or another leading urologist, write or call us.

  

Hadassah prostate cancer treatment has saved thousands of patients around the world

Radiotherapy for Prostate Cancer: The Advantages of Hadassah Clinic

Hadassah has been using since 2016, the one and only Novalis TrueBeam STx 2016 image-guided radiosurgery system in Israel.

Due to the unique accuracy of exposure, the device is absolutely safe and allows the acceleration of the radiotherapy by 30-50%, increasing the dose of radiation.

In prostate gland radiation therapy in Hadassah, an ultramodern method of introducing special golden marks or markers into the prostate area is used. This allows more accurately directing radiation to the target location.

In combination with hormone replacement therapy, radiation therapy leads to a high success rate even in nearly hopeless cases.

Hadassah PRRT therapy is 2-3 times more effective

The idea of peptide receptor target therapy (PRRT) is the use of a synthetic analogue of somatostatin Octreotide carrying the radioactive isotope Lutetium-177. The drug is administered to the patient intravenously. Octreotide and the radioactive isotope bind to the somatostatin receptors of the tumor cells, thereby performing local radiation therapy. Due to this, tumor tissues are destroyed with minimal exposure to cells of other organs that do not have (or contain a small amount) somatostatin receptors.

PRRT therapy is well tolerated by patients and does not have most of the side effects of chemotherapy such as nausea, pain, alopecia, or weakness.

Hadassah is the only Israeli clinic where the effectiveness of treating prostate cancer with PRRT using the radioactive isotope Lutetium-177 is 2-3 times higher than usual.

This is because only here the radioactive material is produced in a special room directly inside the clinic and does not have time to "discharge" by the time of use.

The introduction of the drug is performed four times with one or two month intervals. The PRRT procedure is performed in a hospital oncology unit of the Hadassah clinic and takes three days. After this, the patient can return to his usual life. At the end of the full course of treatment, the clinic’s specialists conduct a follow-up examination of the patient which allows evaluating the effectiveness of the therapy.

The leading specialist in PRRT therapy for Hadassah is Dr. Amihai Meirovich.

Removing the prostate with da Vinci Surgical System

Hadassah was the first Israeli clinic to start using the Da Vinci Surgical System.

The first installation of da Vinci in the country was acquired by the Jerusalem Medical Center in 2009. A multidisciplinary team was trained to work with the new system, and only in the first year after the installation of the system, Hadassah surgeons performed about 60 operations, all of them with great results.

Thus, although the removal of the prostate using a surgical system is performed today in all major Israeli clinics, the experience of Hadassah surgeons can not be compared to the experience of other doctors in the country. Main contributor is the highly specialized and head of the Department of Urology, Prof. Gofrit. His colleagues even call him "Professor Da Vinci."

The Da Vinci System shares many of the advantages of minimally invasive surgery: due to the operation through small incisions, postoperative scars are almost invisible, heal quickly, bring less pain in the postoperative period, and do not cause complications. The patient’s hospital stay is also reduced.

Da Vinci though, has several additional advantages, even over conventional minimally invasive surgery:

On the screen of the system, a three-dimensional image of the surgical field is created, while during ordinary laparoscopy, the doctor only has a two-dimensional image. Three-dimensionality allows to better understand and control the processes occurring during the surgery.

Instruments of minimally invasive surgery are mounted on 4-5 manipulators of a robotic station. This, significantly expands the capabilities of the surgeon.

Using Da Vinci nullifies the possibility of error due to the “human factor” because the robot arms can remain completely motionless as needed and they are not subject to fatigue.

Da Vinci manipulators have an additional joint, which gives an almost unlimited freedom of movement, inaccessible to the hands of a surgeon.

It is important to understand that due to the high cost of operations using the Da Vinci Surgical System, they are performed mainly in complex and critical cases.

  

Other advanced prostate cancer treatments used in Hadassah clinic

Patients older than 70 years, who have prostate cancer which is aggravated by other serious diseases, as well as those who did not benefit from radiation at Hadassah Medical Center, are offered an innovative treatment - cryosurgery or freezing of the prostate gland.

Brachytherapy (or local radiation) is applicable only if localized cancer is detected since the radiation does not extend further than 2 mm from the capsule. Before brachytherapy, a 3-month course of cytostatics can be prescribed in cases when the focus is already extensive.

Ultrasonic radiofrequency ablation is possible in the early cancer stages (1, 2). High-intensity focused ultrasound warms up the prostate tissue affected by cancer to high temperatures so as to destroy the tumor.

In Israel, standard laparoscopic prostatectomy is most commonly used for local cancer. The surgeon makes small cuts (punctures) of the abdominal wall to access the surgical field. An instrument equipped with a light source and a micro-video camera, a laparoscope, is introduced into the sections. The surgeon carefully monitors through a special monitor for all changes in the area of operation.

Diagnosis of suspected prostate cancer in Israel

Hadassah is one of the few clinics in the world where the latest ultra-precise diagnosis of prostate cancer is performed using PSMA PET / CT.

The complex of diagnostic measures for prostate cancer in Israel includes the following procedures:

A urologist performs a  rectal examination. The method helps a qualified doctor to determine the presence or absence of bumps and seals without the use of complex and lengthy medical tests.

A blood test for a specific prostatic antigen. The most important diagnostic method to detect the development of malignant carcinogenic cells in the early (active) stages when the tumor cannot be detected by other methods. The amount of prostatic specific antigen (PSA) in prostate cancer is significantly higher than normal.

Ultrasound. This study for prostate cancer is carried out with a rectal probe which makes it possible to determine the size of the organ, study the structure, identify seals, nodules and other pathologies.

CT. Layered images of the prostate are obtained, other parameters and characteristics of the malignant tumor are specified in order to develop a scheme for the upcoming treatment.

MRI

Positron emission tomography (PET) is one of the latest methods of radioisotope research. The patient is injected intravenously with a radioactive dye that is safe for health and then X-ray is taken. PET provides doctors with a detailed picture of the internal structures, revealing the presence of the tumor process and the degree of its development.

Biopsy under ultrasound guidance.

For comprehensive information on the treatment of prostate cancer in Israel and the cost of the procedures, contact us.