DR PHILLIP STRICKERKey Aspects

Nerve-sparing open radical prostatectomy

Focal therapy

Locally advanced and oligometastatic disease

IMRT

Incontinence therapy after prostate cancer treatment

Low-dose-rate brachytherapy (seeds)

Sexual health rehabilitation and service

High-dose-rate brachytherapy

Nerve-sparing robotic radical prostatectomy

Active surveillance

Tailored Personalised Treatment

Outstanding and Experienced Team

Research

Targeted Safer Biopsy

Second opinion service

Treatments

Precise Prostate Imaging

E. Active surveillance

✜✜ Greater than 1,200 cases on active surveillance since 1992.

✜✜ One of the largest and published series in Australasia.

✜✜ Structured program of follow-up with PSA, transperineal biopsies and MRI scans.

✜✜ Current research is minimally invasive follow-up for AS Patients.

F. Image modulated radiotherapy

✜✜ Works collaboratively with the top radiotherapists at St Vincent’s, Mater and North Shore.

✜✜ Uses special techniques to minimise side effects using fiducial marker seeds and SpaceOAR to limit damage to rectum.

✜✜ Works collaboratively with multidisciplinary meetings with the radiotherapists.

G. Focal therapy

✜✜ Set up the first focal therapy program in Australasia.

✜✜ Currently offers high-intensity focused ultrasound focal therapy and NanoKnife focal therapy for highly selected patients.

✜✜ Currently conducting a clinical trial on NanoKnife irreversible electroporation for focal localised prostate cancer.

✜✜ Recently published the first paper on NanoKnife focal therapy of the Prostate in the world with Prof M Emberton in England.

H. Locally advanced and oligometastatic disease

✜✜ One of the largest personal series in locally advanced prostate cancer managed with multidisciplinary care.

✜✜ Currently working with Associate Professor Andrew Kneebone and Gerald Fogarty on treating oligometastatic disease, currently conducting trials on oligometastatic disease.

✜✜ Developed new imaging techniques with Prof Louise Emmett using choline PET/CT scans and PSMA PET/CT scans to assess the accuracy of nodal imaging.

I. Incontinence therapy after prostate cancer treatment

✜✜ Personal series of greater than 100 cases of artificial sphincter for severe urinary incontinence.

✜✜ Large experience in the use of ProACT device, AdVance sling, pelvic floor exercises with Stuart Baptist with mild-er incontinence.

✜✜ Works with a dedicated pelvic floor physiotherapist, Stuart Baptist in association with continence recovery after surgery.

J. Sexual health rehabilitation and service

✜✜ One of the largest experiences in sexual treatments and rehabilitation in Australia and one of the acknowledged experts.

✜✜ Set up the largest multidisciplinary sexual dysfunction clinic in the southern hemisphere in 1990.

✜✜ One of the original investigators developing Viagra.

✜✜ Currently involved in research into sexual preservation in surgery by specialised nerve-sparing techniques not only preserving erection nerves but also penile arteries.

✜✜ Offers all options of therapy in collaboration with Michael Lowy and Patrick Lumbruoso in the treatment of sexual dysfunction including PDE5 inhibitors, vacuum devices, penile injection therapy and penile implants.

✜✜ One of the largest series in penile implants in Australia.

1 Precise Prostate Imaging✜✜ Pioneer in multiparametric MRI of the prostate in Australia, chief investigator confirming the accuracy of MRI,

works with Australia’s key acknowledged experts Ron Shnier, Daniel Moses, currently working to improve the accuracy with MRI informatics with the Cleveland Clinic.

2 Targeted Safer Biopsy✜✜ Developed and pioneered the transperineal approach to biopsy.

✜✜ Performed over 8000 transperineal biopsies.

✜✜ First person to use MR-ultrasound fusion technology to improve accuracy in Australia.

✜✜ One of very few people offering MR-guided biopsy in gantry.

3 Treatments

A. Nerve-sparing open radical prostatectomy

✜✜ Almost 4500 cases, largest series in the southern hemisphere.

✜✜ Specialist in nerve-sparing technique.

✜✜ Results presented internationally and nationally

✜✜ Mentored and trained over 100 registrars, fellows and urological colleagues.

B. Robotic nerve-sparing radical prostatectomy

✜✜ Performed over 2000 cases which is the largest series in Australasia and the largest personal published series.

✜✜ Has confirmed and published superior results compared to his own open series in early and intermediate risk cancers.

✜✜ Continually improving nerve-sparing techniques.

✜✜ Presented and published results nationally and internationally by invitation.

✜✜ Performs up to 12 cases per week.

✜✜ Mentored and trained surgeons and registrars in Australia, France, England and New Zealand.

✜✜ Commenced the first robotic program in New South Wales at St Vincent’s in February 2006.

C. Low-dose-rate brachytherapy (seeds)

✜✜ Personal series of greater than 1000 cases since 1997, one of the largest in Australasia.

✜✜ Results have been presented and published at national and international meetings by invitation.

✜✜ Mentored and trained many units in Australia and China.

✜✜ Helped achieve an item number for Medicare for brachytherapy seeds in Australia.

✜✜ Helped Set up many brachytherapy units in Australasia.

D. High-dose-rate brachytherapy

✜✜ Largest personal series in Australasia and one of the largest in the world with greater than 1000 personal cases.

✜✜ Published and presented often by invitation at national and international meetings.

✜✜ Mentored and trained multiple urologists in the technique.

✜✜ Began the first program in 1998 in Australia.

4 Second opinion service✜✜ Over 20 years of experience in tailoring treatments.

✜✜ Began the multidisciplinary team at St Vincent’s.

✜✜ Chairs the MultiDisciplinary Clinic at St Vincent’s

✜✜ Has offered a second opinion website through his website and prostate.com.au for over 15 years.

✜✜ As he offers all options, gives a truly multidisciplinary second opinion service.

5 Tailored Personalised Treatment✜✜ Specialises in Tailored Therapy as he offers all options with enormous experience in all treatments including the

latest research

6 Outstanding and Experienced Team✜✜ One of Australia’s most experienced clinical managers with over 23 years experience

✜✜ Compassionate and experienced administrative staff

✜✜ Team includes pelvic floor physiotherapist, Sexual Health physicians, Complementary Therapist, Radiotherapists, Medical Oncologists, Dietitians, Researchers, Fellows ,Surgical Assistants, Physicists, General Physicians, Radiologists

7 Research✜✜ Director of the St Vincent’s Prostate Cancer Centre for over 15 years.

✜✜ Director of the Australian Prostate Cancer Research Centre – New South Wales – at Kinghorn and Garvan Institute 2013

✜✜ Over 130 peer-reviewed publications.

✜✜ Clinically based research to improve patient care.

✜✜ Currently developing new treatments (Focal therapy and image guided therapy and immune therapies) and looking at quality of life after treatments.

✜✜ Current key research interests are in diagnostics, imaging and new treatments including focal therapy and immune therapies.