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What Is Actually HIFU and Who Is a Good Person With Prostate Cancer?

HIFU, or Intense Focused Ultrasound, is really a non-invasive method of management of localized cancer of the prostate. HIFU focuses ultrasound energy and sound waves to some targeted area in the prostate leading to rapid temperature increases and focal ablation from the treatment zone with great accuracy. In most cases, HIFU is performed with an outpatient basis a single to 4 hours with respect to the size the prostate. The biggest benefit of HIFU is a very low incontinence rate of less than 2% along with a post-treatment male impotence rate of 20 to 30%. The main element to success with HIFU, however, is proper patient selection. Candidates include men with low- to intermediate-risk localized prostate cancer (i.e., no spread of cancer outside the prostate). These men would've clinical stage T1 or T2b disease (i.e., no palpable nodule or nodule confined one lobe in the prostate), Gleason score of 7 or less (preferably not in excess of Gleason Score 3+4=7), PSA amount of lower than 20, as well as a prostate amount of 40 grams or less. Initial data for treatment of appropriately selected men with HIFU shows results similar to other modalities pertaining to localized cancer control, biochemical recurrence, and disease-free survival. Additionally, reported incontinence and erectile dysfunction rates after HIFU can be low at less that 2% and 20 to 30%, respectively.



Advantages of HIFU as a means of treating select men with cancer of the prostate include a non-surgical, noninvasive technique requiring no hospital stay. Additionally, the prostate cancer tissue is destroyed with no radiation exposure. HIFU is repeatable should re-treatment become necessary later on. Additionally, HIFU enables you to treat recurrent prostate cancer that has been initially treated by other means, for example radiation or proton therapy. Another impressive use of HIFU for treatment of localized prostate cancer is based on emerging successes with focal therapy of prostate type of cancer. Of these select cases, studies could be performed to ensure a low-volume of cancer of the prostate limited by one lobe or possibly a specific focal site inside the prostate. The involved lobe or specific site with the patient's cancer of the prostate would then be focally treated. Candidates for focal HIFU include men with low-volume (below or comparable to 3 cores positive for cancer, no one core with in excess of 50% positive), Gleason Score of 6 or fewer, and a PSA of under 10. These men would undergo "template" or "saturation" biopsies with greater to 24 cores evaluated. Research studies taking a look at focal therapy of prostate cancer in very select men with low-volume disease are emerging and early results look promising although no long-term data is yet available. Early ends in some studies show as much as 90% recurrence free survival following focal therapy in observed at close range men. Incontinence rates following focal HIFU were 0 to 1% and erection dysfunction rates less than 5% in a study considering results at three and six months following treatment.

HIFU can be a noninvasive treatment selection for men with low- to intermediate-risk prostate type of cancer. The main element to the success as with most alternatives for treatment is based on appropriate candidate selection. HIFU is performed internationally and is also currently undergoing many studies for FDA approval in the US. American urologists are competed in performing HIFU and assist American teams internationally to be able to offer botox cosmetic injections to appropriately selected patients thinking about HIFU as a means of treating their prostate kind of cancer. Keep in mind, make sure you discuss all options along with your urologist including the risks, benefits and choices to each prior to making an informed decision regarding treatments for your cancer of the prostate. Maintain open and honest discussions along with your doctor when considering these options since the step to business energy is locating the treatment you want along with your particular cancer the most effective.

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