I'm in Aridzona (71° right now, hee hee) so can't help re: a cryosurgery
practitioner.

However: I recommend a careful study of the stage of the PCa.
Cryotherapy is a local tx, and if the PCa is systemic or outside the
gland, then it will not be curative nor perhaps even palliative.

Also, the gland may be so transformed by the rad therapy that
cryotherapy might be impractical.

Lastly, if the decision is made to proceed, I recommend selection of a
very well-experienced surgeon. I had cryo in 2003, totally botched by an
inexperienced uro. I've learned my lesson.

Regards,

Steve J

When Steve Jordan sees this he'll need a traquiliser dart in the
butt!!

Watch for his reply :)

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Hi Bob...Dr. Gary Onik is one of the best when it comes to cryo.  He's
down in Orlando, not too far afield from the mid-atlantic area.  Take a
look at the following website, it has contact info, general info, even
a brief section on treating recurrent PCa following RT.

http://www.hopeforprostatecancer.com/index.html

One more thing, I'm not a big fan of HIFU (high-intensity focused
ultrasound) for primary treatment, but it has also been used to treat
recurrent PCa.  It is not approved by the FDA so you have to go outside
the US and pay for treatment on your own, but it is easily tolerated
and non-invasive.  There have been some published studies on using it
to treat recurrent PCa and they can be found in a PubMed search.  Go to

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=PubMed

and search "hifu, recurrent prostate cancer"...best wishes and good
health, Ron

First, Bob, I'd like to know where you are getting your information.  I am
not a doctor, but most of  your post appears to me to be based on a profound
lack of knowledge of the disease that is going to kill you if you don't
learn how to kill the son of a bitch.

If you had external beam radiation treatment (EBRT) as your initial
treatment for prostate cancer, the process cooked your prostate.  Not much
of it is left anymore.  So, there is no salvage surgery option, or at least
none that most sane surgeons would contemplate.

Cryo would, in my mind, be more ridiculous.  I dont' know much about Cryo
(other than I never met a man for whom it worked).  Assuming that what
really gets frozen in cryo is the 90% water in the prostate tissue, there is
nothing left to freeze in a radiated prostate.  And if there were, so what?
You already treated the prostate.  Obviously, the cancer is elsewhere.

No, Bob.  Your next step, should you decided to take it, is the same as mine
was 2½ years ago;  Androgen Deprivation Therapy (ADT), sometimes known as
Hormone Treatment (HT).

But... actually two "buts".

But, I am not a doctor.

But, you need to research your disease and your circumstances.  Nothing (not
even your doctor) is a substitute for that.