Does anyone have any first hand experience with Nanoknife procedure?

Posted by buzzliteyear @buzzliteyear, Jul 2 7:37pm

I’m consider Nanoknife or cyberknife for two lesions both 3+4. From what I’ve read Nanoknife is a very successful treatment with few side effects. I’m located in the Atlanta area but willing to travel. I would greatly appreciate any experience.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

brianjarvis | @brianjarvis | Jul 3 8:26am

Will your insurance pay for NanoKnife (also known as irreversible electroporation)?

capatov | @capatov | Jul 3 9:34am

I too live in ATL and had one 3 +4 and one 4 +3 = 7 Gleeson biopsy cores. I had 23 rounds of IMRT plus one high dose brachytherapy procedure at Emory.

Also 6 months Orgovyx hormone suppression. I was very happy with the comprehensive care I received at Emory and know their multi-disciplinary capabilities are key to effective prostate cancer diagnosis and treatments. If you are not speaking with them....you might consider it. I know they do Proton and SBRT but I am not sure about NanoKnife?

gleason3plus4 | @gleason3plus4 | Jul 3 12:31pm

I had NanoKnife treatment by Dr. Lomas at Mayo Rochester in October of 2021. I couldn’t be happier with the results (as far as PSA and MRIs can indicate with focal treatments) and the overall care I received. Virtually no side effects. Now… perpetual active surveillance.

buzzliteyear | @buzzliteyear | Jul 3 3:08pm

In reply to @brianjarvis "Will your insurance pay for NanoKnife (also known as irreversible electroporation)?" + (show)

From what I gather it’s hit and miss. I have a supplemental plan, not sure if that will help.

buzzliteyear | @buzzliteyear | Jul 3 3:11pm

In reply to @gleason3plus4 "I had NanoKnife treatment by Dr. Lomas at Mayo Rochester in October of 2021. I couldn’t..." + (show)

That’s great to hear. I’m surprised it hasn’t gained more traction. Out of all the treatments Nanoknife looks the most appealing to me.

buzzliteyear | @buzzliteyear | Jul 3 3:17pm

In reply to @capatov "I too live in ATL and had one 3 +4 and one 4 +3 = 7..." + (show)

I’ve meet with Emory regarding imrt and Sbrt . Unfortunately they don’t have An MRI linear accelerator. Northside has one. From what I can see I don’t believe they offer Nanoknife.

tk192 | @tk192 | Jul 3 3:32pm

In reply to @buzzliteyear "That’s great to hear. I’m surprised it hasn’t gained more traction. Out of all the treatments..." + (show)

Same here. I read it's very prevalent in Germany. My first urologist had never heard of IRE?

brianjarvis | @brianjarvis | Jul 3 5:34pm

In reply to @buzzliteyear "From what I gather it’s hit and miss. I have a supplemental plan, not sure if..." + (show)

The reason why it’s hit-and-miss with insurance companies for treating prostate cancer is that it’s not “fda-approved” for treating prostate cancer. (It’s still considered experimental for prostate cancer treatment.)

NanoKnife is “fda-cleared” for prostate-tissue ablation, so doctors are permitted to use it “off-label” for prostate cancer treatment.

buzzliteyear | @buzzliteyear | Jul 3 7:49pm

Very true. I hear Medicare will be covering in 2026.

capatov | @capatov | Aug 4 9:10am

In reply to @buzzliteyear "I’ve meet with Emory regarding imrt and Sbrt . Unfortunately they don’t have An MRI linear..." + (show)

I am being treated at Emory Winship radiation oncology team at St Josephs campus. They excellent and I am very high on the care. From what I know, they offer Proton beam, SBRT, IMRT with linear accelerators, and low and high dose brachytherapy.

If they don't have a machine at the St Josephs location....they arrange for you to get treated at the main Emory Hospital campus or mid-town Winship facility

You might want to inquire with them?