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First Pivotal Trial Finds Cooled-Laser Prostate Therapy Effective at 3 Months With Low Morbidity

A single-arm design with three-month follow-up limits the strength of the findings.

Overview

  • In the 100-patient PFLT-PC trial, 84% had no clinically significant cancer in the treated zone on 3‑month biopsy after ProFocal cooled‑laser focal therapy.
  • Participants had MRI-visible, localized intermediate-risk disease and were treated transperineally under general anesthesia as a day procedure.
  • Ablation was monitored with real-time temperature control at 60–100 °C and assessed by multiparametric MRI within 72 hours, followed by targeted biopsy at three months.
  • Functional outcomes were favorable, with erectile dysfunction reported in 12% and minimal urinary impact reflected by a 4.5% decrease in EPIC-urinary scores and low incontinence rates.
  • Results were published in BJU International by a team led by Jonathan Kam, with disclosed ties to Medlogical Innovations, including the founder as an author and two authors becoming stockholders after the trial.