SUG

Focal Therapy for Prostate Cancer

Precision Treatment That Preserves Quality of Life
Focal therapy is an advanced, minimally invasive treatment for localized prostate cancer that targets only the cancerous areas of the prostate while preserving the surrounding healthy tissue. Unlike traditional treatments such as surgery or whole-gland radiation—which affect the entire prostate—focal therapy offers a targeted approach designed to maintain urinary and sexual function.
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What is Focal Therapy?

Using advanced imaging techniques such as MRI or PSMA PET scans, focal therapy allows precise identification of cancerous lesions within the prostate. Once identified, technologies like focal laser ablation (FLA) are used to destroy cancer cells with minimal impact on surrounding structures. This approach delivers effective cancer control with fewer side effects and a faster recovery compared to more aggressive treatments.

Benefits of Focal Therapy

Preservation of Quality of Life

Focal therapy minimizes risks of common side effects such as urinary incontinence and erectile dysfunction by sparing healthy prostate tissue.

Lower Risk of Complications

Compared to surgery or whole-gland radiation, focal therapy is associated with reduced treatment-related morbidity and a quicker return to normal activities.

Targeted Cancer Control

By precisely treating only the cancerous lesions, focal therapy reduces damage to surrounding tissues while still achieving effective oncological outcomes.

Repeatable and Salvageable

In cases of recurrence, focal therapy can often be safely repeated, and patients retain the option to undergo other treatments such as surgery or radiation if needed.

Is Focal Therapy Right for You?

Focal therapy may be a suitable option for men with localized prostate cancer who are seeking a balance between effective cancer control and maintaining quality of life. Eligibility depends on several factors, including:

  • Cancer location and size
  • Cancer grade
  • Imaging results
  • Personal treatment preferences

A detailed assessment will determine whether focal therapy is appropriate for your specific case.

Dr Nicholas Mehan – Leader in Focal Therapy

Dr Nicholas Mehan is one of Australia’s leading experts in focal therapy for prostate cancer. He was an investigator in the first in-human trial of interstitial cooled laser prostate ablation at Nepean Hospital and remains actively involved in ongoing research and innovation in this field.

As a high-volume focal therapy surgeon, Dr Mehan combines technical excellence with a strong commitment to education and training. He recently convened the Focal Therapy Masterclass at the Asia-Pacific Prostate Cancer Conference (APCC) 2025 and has been an invited speaker at several international meetings.

Dr. Mehan currently offers focal therapy at Chris O’Brien Lifehouse.

Our approach to patient care

At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.

Our approach to patient care

At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.

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