Background: Focal therapy is an emerging treatment modality for prostate cancer that aims to spare patients treatment-related side effects including erectile dysfunction and urinary incontinence associated with surgery and radiotherapy, which are the current standards of care.
Objective: In this narrative review, the authors aim to provide a focused summary of prostate cancer focal therapies for general practice including an overview of key underlying oncological principles, existing treatment modalities, their functional and oncological outcomes, and follow-up after treatment.
Discussion: Focal therapy is being increasingly established in the management of localised prostate cancer and is a promising alternative to surgery and radiotherapy in carefully selected patients. With a growing body of evidence in support of focal therapy, its potential in the future of prostate cancer management is clear.