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HIFU, or Intensity which is high Focused Ultrasound, is a minimally invasive strategy for treatment of localized prostate cancer. HIFU focuses ultrasound energy as well as sound waves to a targeted area in the prostate leading to rapid temperature increases as well as focal ablation of the treatment zone with great precision. In most cases, HIFU is performed on an outpatient time frame in one to four hours dependant upon the size of the prostate. The biggest benefit of HIFU is a very small incontinence rate of only 2 % and a post-treatment erectile dysfunction rate of twenty to 30 %. The secret to good results with HIFU, nevertheless, is adequate patient selection. Candidates include males with low- to intermediate risk localized prostate cancer (i.e., no spread of cancer outside the prostate). These men will have medical stage T1 or perhaps T2b disease (i.e., no palpable nodule or nodule confined one lobe of the prostate), Gleason score of 7 or perhaps less (preferably not better than Gleason Score 3+4=7), PSA level of only 20, along with a prostate volume of 40 grams or perhaps a lot less. First data for treatment of properly selected males with HIFU has shown results just like other modalities with regard to localized cancer control, disease-free survival, and biochemical recurrence. Furthermore, reported erectile dysfunction rates and incontinence after HIFU are extremely small at less that two % and twenty to thirty %, respectively.
Benefits of HIFU as a way of treating select men with prostate cancer include a non surgical, minimally invasive technique demanding no hospital stay. Additionally, the prostate cancer tissue is wiped out without any light exposure. HIFU is repeatable should re-treatment be necessary in the coming years. Furthermore, HIFU can be utilized to treat recurrent prostate cancer which was initially addressed by other ways, like radiation or perhaps proton therapy. Another amazing application of HIFU for treatment of localized prostate cancer lies in emerging successes with focal treatment of prostate cancer. In these select cases, research would be performed to ensure a low volume of prostate cancer limited to one lobe or a specific focal website within the prostate. The involved lobe or the specific site of the patient's prostate cancer would subsequently be focally addressed. Candidates for focal HIFU consist of men with low-volume (under or equal to three cores beneficial for cancer, hardly any individual core with more than fifty % positive), Gleason Score of 6 or perhaps less, along with a PSA of under ten. These men would undergo "template" or "saturation" biopsies with greater to twenty four cores evaluated. Recent scientific studies looking at focal treatment of prostate health supplement (tourgolf.vn) cancer in extremely select males with low-volume condition are emerging and early results look promising although no future information is still available. Original results in some scientific studies show as many as 90 % recurrence totally free survival following focal therapy in closely monitored men. Incontinence rates to follow focal HIFU were zero to one % as well as erectile dysfunction rates lower than five % in a study looking for results during three and 6 months following treatment.
HIFU is a minimally invasive treatment option for males with low to intermediate-risk prostate cancer. The crucial to the success of its as with all alternatives for treatment lies in proper candidate selection. HIFU is performed internationally and is presently undergoing clinical trials for FDA approval in the US. American urologists are educated in performing HIFU and work with American teams internationally to be able to offer this therapy to properly selected patients interested in HIFU as a method of managing their prostate cancer. As always, be sure to talk about all options with your urologist including the risks, alternatives and benefits to each before you make an informed choice regarding treatment of your prostate cancer. Maintain honest and open discussions with your health care provider when thinking about these options as the secret to the success of yours is locating the treatment that suits both you and your particular cancer the very best.
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