Prostate cancer is one of the most common cancers in men, and for decades treatment choices were limited to surgery or radiation. While effective, these traditional therapies often carry risks of life-changing side effects such as urinary leakage, erectile dysfunction, and bowel problems. Today, thanks to remarkable advances in medical technology, new focal therapies are giving men safe, precise, and minimally invasive options for treatment.
At Atlanta Prostate Center, we are proud to be pioneers in Pulsed Electrical Field Ablation (PEFA)—a cutting-edge focal therapy for prostate cancer. By combining PEFA with Botimage artificial intelligence (AI) imaging analysis and Koelis 3D surgical navigation, we offer patients a treatment option with millimeter accuracy, no incisions, and virtually no side effects.
What Is Pulsed Electrical Field Ablation (PEFA)?
PEFA uses carefully controlled electrical pulses to selectively destroy prostate cancer cells while leaving the surrounding healthy tissues unharmed. Unlike heat-based therapies (such as laser or cryotherapy), PEFA works by creating microscopic pores in the cancer cell membranes. This process, known as irreversible electroporation, disrupts the cancer cells’ ability to survive, leading to natural cell death.
Because the therapy is non-thermal and highly targeted, critical structures such as nerves, sphincter muscles, and blood vessels are preserved. This is why men treated with PEFA generally do not experience the urinary or sexual side effects that are so common after surgery or radiation.
The Role of Botimage AI: Smarter Cancer Detection
Even the most effective treatment is only as good as the ability to see and target cancer accurately. That is where Botimage AI technology makes a major difference.
Botimage uses artificial intelligence to analyze MRI scans of the prostate. This AI system has been trained on thousands of imaging studies to recognize patterns of cancer that may be subtle or overlooked by the human eye. By applying Botimage AI to every patient’s MRI, we can:
- Detect cancer more accurately and differentiate between aggressive and indolent disease.
- Map suspicious lesions with higher confidence.
- Avoid overtreatment by pinpointing the exact areas of concern.
In practical terms, this means that at Atlanta Prostate Center, your prostate cancer is not just being evaluated by radiologists and urologists—it is also being analyzed by advanced AI algorithms that bring another layer of precision to the process.
Koelis 3D Surgical Navigation: Millimeter Accuracy
Once cancer areas are identified, Koelis 3D surgical navigation ensures we treat with pinpoint precision. This technology works like a GPS system for the prostate.
- Koelis takes MRI or PET-CT images of the prostate and builds a personalized 3D map.
- During treatment, the Koelis system continuously tracks the prostate in real time, compensating for natural movements of the body and organ shifts.
- The system guides the physician to the exact location of the cancer with millimeter-level accuracy.
This level of navigation is far beyond traditional ultrasound guidance and means we can confidently ablate cancer while sparing healthy tissue.
Why Side Effects Are Minimal
Traditional treatments—such as robotic prostatectomy or external beam radiation—expose the entire prostate and surrounding tissues to treatment. While effective for cancer control, these approaches commonly cause:
- Urinary incontinence due to damage near the sphincter.
- Erectile dysfunction from injury to the delicate neurovascular bundles.
- Bowel problems from radiation effects on the rectum.
In contrast, PEFA:
- Targets only the cancerous regions.
- Preserves surrounding nerves and muscles.
- Avoids heat, which reduces unintended collateral damage.
- Rarely requires a catheter post-procedure.
Patients typically go home the same day, experience little to no discomfort, and return to normal activity quickly.
The Patient Experience at Atlanta Prostate Center
Here is what you can expect when undergoing PEFA with us:
- Diagnosis and Imaging
- MRI and, if indicated, PET-CT scans are performed.
- Botimage AI reviews your scans for enhanced accuracy.
- Treatment Planning
- Our team uses Koelis 3D navigation to map your prostate and cancer spots.
- We review your case in detail, ensuring focal therapy is the right choice.
- The Procedure
- Performed in our state-of-the-art Ambulatory Surgery Center (ASC).
- Done under general anesthesia for comfort.
- Lasts about 90 minutes to 2 hours.
- Most patients go home the same day.
- Recovery
- Usually no catheter is needed.
- Minimal pain and rapid return to daily life.
- Regular follow-up with PSA, MRI, and biopsy as appropriate.
The Future of Prostate Cancer Treatment—Available Now
At Atlanta Prostate Center, we believe men deserve options beyond the traditional “surgery or radiation” pathway. PEFA represents a paradigm shift in prostate cancer care:
- Focused therapy that preserves function.
- AI-driven detection for smarter targeting.
- 3D navigation that delivers unmatched precision.
- Minimal disruption to life, work, and relationships.
We are proud to be among the first centers in the country—and the only in Georgia—offering this combination of PEFA, Botimage AI, and Koelis navigation.
Why Choose Atlanta Prostate Center?
- Pioneers in focal therapy with unmatched experience.
- Leaders in technology, integrating the latest AI and navigation systems.
- Patient-centered approach—we focus on cancer control and preserving your quality of life.
- State-of-the-art ASCs designed for comfort, safety, and efficiency.
Conclusion
For men diagnosed with localized prostate cancer, Atlanta Prostate Center offers the most advanced, least invasive option available today. Pulsed Electrical Field Ablation—enhanced by Botimage AI and Koelis navigation—provides a treatment pathway with millimeter accuracy, no incisions, no catheter, and no major side effects.
If you or a loved one has been diagnosed with prostate cancer, now is the time to explore focal therapy. Contact Atlanta Prostate Center to schedule a consultation and learn whether PEFA is right for you.
by Dr Vik Sabarwal
Director of Minimally Invasive Prostate Treatments
Prostate cancer is one of the most common cancers in men, and for decades treatment choices were limited to surgery or radiation. While effective, these traditional therapies often carry risks of life-changing side effects such as urinary leakage, erectile dysfunction, and bowel problems. Today, thanks to remarkable advances in medical technology, new focal therapies are giving men safe, precise, and minimally invasive options for treatment.
At Atlanta Prostate Center, we are proud to be pioneers in Pulsed Electrical Field Ablation (PEFA)—a cutting-edge focal therapy for prostate cancer. By combining PEFA with Botimage artificial intelligence (AI) imaging analysis and Koelis 3D surgical navigation, we offer patients a treatment option with millimeter accuracy, no incisions, and virtually no side effects.
What Is Pulsed Electrical Field Ablation (PEFA)?
PEFA uses carefully controlled electrical pulses to selectively destroy prostate cancer cells while leaving the surrounding healthy tissues unharmed. Unlike heat-based therapies (such as laser or cryotherapy), PEFA works by creating microscopic pores in the cancer cell membranes. This process, known as irreversible electroporation, disrupts the cancer cells’ ability to survive, leading to natural cell death.
Because the therapy is non-thermal and highly targeted, critical structures such as nerves, sphincter muscles, and blood vessels are preserved. This is why men treated with PEFA generally do not experience the urinary or sexual side effects that are so common after surgery or radiation.
The Role of Botimage AI: Smarter Cancer Detection
Even the most effective treatment is only as good as the ability to see and target cancer accurately. That is where Botimage AI technology makes a major difference.
Botimage uses artificial intelligence to analyze MRI scans of the prostate. This AI system has been trained on thousands of imaging studies to recognize patterns of cancer that may be subtle or overlooked by the human eye. By applying Botimage AI to every patient’s MRI, we can:
- Detect cancer more accurately and differentiate between aggressive and indolent disease.
- Map suspicious lesions with higher confidence.
- Avoid overtreatment by pinpointing the exact areas of concern.
In practical terms, this means that at Atlanta Prostate Center, your prostate cancer is not just being evaluated by radiologists and urologists—it is also being analyzed by advanced AI algorithms that bring another layer of precision to the process.
Koelis 3D Surgical Navigation: Millimeter Accuracy
Once cancer areas are identified, Koelis 3D surgical navigation ensures we treat with pinpoint precision. This technology works like a GPS system for the prostate.
- Koelis takes MRI or PET-CT images of the prostate and builds a personalized 3D map.
- During treatment, the Koelis system continuously tracks the prostate in real time, compensating for natural movements of the body and organ shifts.
- The system guides the physician to the exact location of the cancer with millimeter-level accuracy.
This level of navigation is far beyond traditional ultrasound guidance and means we can confidently ablate cancer while sparing healthy tissue.
Why Side Effects Are Minimal
Traditional treatments—such as robotic prostatectomy or external beam radiation—expose the entire prostate and surrounding tissues to treatment. While effective for cancer control, these approaches commonly cause:
- Urinary incontinence due to damage near the sphincter.
- Erectile dysfunction from injury to the delicate neurovascular bundles.
- Bowel problems from radiation effects on the rectum.
In contrast, PEFA:
- Targets only the cancerous regions.
- Preserves surrounding nerves and muscles.
- Avoids heat, which reduces unintended collateral damage.
- Rarely requires a catheter post-procedure.
Patients typically go home the same day, experience little to no discomfort, and return to normal activity quickly.
The Patient Experience at Atlanta Prostate Center
Here is what you can expect when undergoing PEFA with us:
- Diagnosis and Imaging
- MRI and, if indicated, PET-CT scans are performed.
- Botimage AI reviews your scans for enhanced accuracy.
- Treatment Planning
- Our team uses Koelis 3D navigation to map your prostate and cancer spots.
- We review your case in detail, ensuring focal therapy is the right choice.
- The Procedure
- Performed in our state-of-the-art Ambulatory Surgery Center (ASC).
- Done under general anesthesia for comfort.
- Lasts about 90 minutes to 2 hours.
- Most patients go home the same day.
- Recovery
- Usually no catheter is needed.
- Minimal pain and rapid return to daily life.
- Regular follow-up with PSA, MRI, and biopsy as appropriate.
The Future of Prostate Cancer Treatment—Available Now
At Atlanta Prostate Center, we believe men deserve options beyond the traditional “surgery or radiation” pathway. PEFA represents a paradigm shift in prostate cancer care:
- Focused therapy that preserves function.
- AI-driven detection for smarter targeting.
- 3D navigation that delivers unmatched precision.
- Minimal disruption to life, work, and relationships.
We are proud to be among the first centers in the country—and the only in Georgia—offering this combination of PEFA, Botimage AI, and Koelis navigation.
Why Choose Atlanta Prostate Center?
- Pioneers in focal therapy with unmatched experience.
- Leaders in technology, integrating the latest AI and navigation systems.
- Patient-centered approach—we focus on cancer control and preserving your quality of life.
- State-of-the-art ASCs designed for comfort, safety, and efficiency.
Conclusion
For men diagnosed with localized prostate cancer, Atlanta Prostate Center offers the most advanced, least invasive option available today. Pulsed Electrical Field Ablation—enhanced by Botimage AI and Koelis navigation—provides a treatment pathway with millimeter accuracy, no incisions, no catheter, and no major side effects.
If you or a loved one has been diagnosed with prostate cancer, now is the time to explore focal therapy. Contact Atlanta Prostate Center to schedule a consultation and learn whether PEFA is right for you.
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