Comments on: HIFU for localized prostate cancer: a series of 172 UK patients

By: Sitemaster

Sitemaster — Thu, 01 Mar 2012 09:28:24 +0000

If you enter “HIFU” into the Search function at the top of this page, you with get links to many recent articles on HIFU.

With 12/12 biopsy cores positive for cancer, it would be my entirely personal opinion that HIFU might not be the best of choices for your treatment; I would be concerned that we have limited information of the effectiveness of HIFU on cancers that extensive within the prostate. However, you really need to go an consult with a physician who specializes in HIFU about this.

You do understand that to have HIFU you would have to go outside the USA to be treated and that you would have to pay for this yourself, don’t you? HIFU is not approved for the treatment of prostate cancer here in the US.

By: Jerry Gilbert

Jerry Gilbert — Thu, 01 Mar 2012 06:42:51 +0000

I am currently investigating different procedures for prostate cancer. I have a PSA of 7.05 and a Gleason score of 3 + 4 = 7 in only one of my 12 biopsies. The other scores were 3 + 3 = 6 in 11 biopsies. I would like more current info on HIFU.

Thanks for your help!

By: Sitemaster

Sitemaster — Tue, 01 Sep 2009 11:06:42 +0000

Dear Mike:

I am not aware of any “simple scan” that can be used to analyze why your urine stream is weak. Presumably a cystoscopic examination might help to expain this. At 6 months post-HIFU, however, you really do need to get some clear guidance from your urologist.

By: Mike

Mike — Tue, 01 Sep 2009 04:12:55 +0000

I am 6 months post-HIFU. PSA reduced from 3.7 to 0.8 to 0.4 so far. The main issue has been slower urine stream and more frequent urinating. I am hoping that there is no stricture or, if there is necrotic tissue, it comes out. Is there a simple scan to see why stream is weaker? Also, this site says the IPSS deteriorated thru 6 months, but then resolved itself. Hopefully, my weak stream will resolve itself as well. Thanks.

By: Peter de Bretteville

Peter de Bretteville — Fri, 31 Jul 2009 18:08:11 +0000

My stats were T1c, PSA 7, Gleason 6, volume 3.15, so I was a good candidate for HIFU. My catheter came out yesterday, 12 days after treatment, and I am urinating easily at about 70% of normal stream. This all seems quite fantastic to me. I am even having to keep my mind off of sex to avoid an erection! Upon their recommendation I have been on Cialis as a therapy for 3 days. We will have to see about real “performance”. I am enthusiastic about this method and optimistic about long term, especially based on the informative report above. I am convinced that at least for now this is the best method and that radiation should be used only in the absence of alternative treatments.

Thanks, Peter

By: jesse farr

jesse farr — Sun, 05 Jul 2009 12:16:45 +0000

It would be nice to see a comparison of other treatments, such as proton beam therapy, utilizing similar criteria and over time (1 year, 2 years, 5 years, etc.). It would make a nice, informative, and helpful database.

By: gerald chodak

gerald chodak — Sun, 05 Jul 2009 04:13:41 +0000

The authors have given more information that has been lacking about this therapy and it begins to define the negative side of treatment. What is needed, however, is longer follow-up and until that exists we do not know if this is a reasonable alternative compared to other treatment options.