Evidence map›Paper›PMID 42382550›Full record

ReviewProstate international2026

Irreversible electroporation in focal therapy for prostate cancer: current status and future directions.

Francisco O Durazo-Ruiz, Rocío Roldán-Testillano, Lara Rodriguez-Sanchez, M Pilar Laguna, Liam N Mendez-Bisgaard, Adel Arezki, Hussein Elkhatib, Alejandro Hevia-Feliu, Kai Zhang, Jonathan Fainberg and 8 more

Abstract readReview
In one paragraph

Review in Prostate international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Francisco O Durazo-RuizDepartment of Urology, McGill University Health Centre, Montréal, Canada.
Rocío Roldán-TestillanoDepartment of Urology, McGill University Health Centre, Montréal, Canada.
Lara Rodriguez-SanchezDepartment of Urology, Institut Mutualiste Montsouris, Paris, France.
M Pilar LagunaInternational School of Medicine, Istanbul Medipol University, Istanbul, Türkiye.
Liam N Mendez-BisgaardSchool of Medicine and Health Sciences of Tecnológico de Monterrey, Guadalajara, Mexico.
Adel ArezkiDepartment of Urology, McGill University Health Centre, Montréal, Canada.
Hussein ElkhatibDepartment of Urology, Northern Ontario School of Medicine University, Thunder Bay, Canada.
Alejandro Hevia-FeliuHospital Universitario Infanta Sofía, Madrid, Spain.
Kai ZhangDepartment of Urology, Beijing United Family Hospital and Clinics, Beijing, China.
Jonathan FainbergUrology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Nathan PerlisDivision of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Jean de la RosetteBashkir State Medical University, Ufa, Russia.
Bernardino Miñana-LópezUrology Department, CUN Prostate Center, Clínica Universidad de Navarra, Madrid, Spain.
Theo M de ReijkeDepartment of Urology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Maurice AnidjarDepartment of Urology, McGill University Health Centre, Montréal, Canada.
Mark EmbertonDivision of Surgery & Interventional Science, University College London, Department of Urology, University College London Hospitals NHS Foundation Trust, London, UK.
Phillip D StrickerDepartment of Urology, St Vincent's Hospital and Private Clinic, Darlinghurst, NSW, Australia.
Rafael Sanchez-SalasDepartment of Urology, McGill University Health Centre, Montréal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of prostate cancer (PCa) requires approaches that eliminate malignant tissue while preserving essential urinary and sexual functions. Irreversible electroporation (IRE) represents a targeted ablative strategy that disrupts cellular membrane integrity through precise electrical pulses, demonstrating the capacity to ablate cancerous foci while sparing adjacent neurovascular bundles and sphincter mechanisms. This structured review examines the mechanistic foundations of IRE technology, evaluates current clinical evidence regarding safety and efficacy, and explores promising applications that may redefine precision urologic care. Existing clinical studies demonstrate encouraging oncological control rates with superior preservation of continence and erectile function compared to whole-gland treatments, though patient selection criteria and long-term durability remain areas requiring further investigation. Emerging applications include salvage therapy following radiation failure, integration with advanced multiparametric imaging for precision targeting, and combination strategies with systemic therapies. The regulatory approval status and economic implications of IRE implementation vary significantly across healthcare systems, creating disparities in patient access and adoption of this technology that must be addressed to ensure equitable availability of focal ablation options. As the technology matures, establishing standardized treatment protocols, refining patient selection algorithms, and conducting robust comparative effectiveness studies will be essential to define the optimal role of IRE within prostate cancer management.

Indexed as

Ablation techniquesElectroporationProstatic neoplasmsQuality of lifeTreatment outcome

Identifiers

PMID42382550
PMCPMC13316470

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.