Locally advanced pancreatic cancer often needs chemotherapy, sometimes radiation, and always multidisciplinary tumour-board discussion. In selected cases, specialists in Australia and overseas have explored IRE as an adjunct when surgery cannot safely achieve a clear margin.
Pancreatic IRE is technically demanding and is not appropriate for most patients. Decisions hinge on vascular involvement, response to systemic therapy, centre experience and patient fitness.
Your medical oncologist and hepatopancreatobiliary surgeon coordinate care. The rooms at Urology NSW primarily manage urological cancers; if pancreatic IRE is not part of your treating team's plan, they may suggest referral to a centre with that capability.
For urological aspects of Dr Kooner's practice, see Urology NSW.
You can ask for a second opinion on imaging, diagnosis and treatment options before you decide.