Focal laser therapy at Halo Diagnostics

HIFU for me worked well with no side effects.

Yes, Halo in Indian Wells. May 8 2024. Dr Feller and Dr Herz. Getting ready for my 3 month PSA follow up. 1 leison ablated. Total time in Halo about 6 hours. On the table about 3 hours, actual ablation time about 15 minutes. Toughest part catheter for 3 weeks. Dr Herz is excellent, but cautious. In 6 weeks following I was back to normal. Zero I mean zero side effects

Hello Sambon, it sounds like you had a great experience. I'm considering this procedure at Indian Wells as well. With local anesthesia, did you feel nothing, I assume? Do you need to stay very still during the 15 minute ablation due to the precision required? Also, if you're from out of town, can you get your PSA done locally where you live? I would have to travel from Scottsdale if I have this done, not that it's a long travel. I'm also considering Tulsa procedure and proton therapy, doing my research. Thanks for the good words on Dr. Feller and Dr. Herz. Best to you!

I live in Vegas
No pain, the ablation time is done in short bursts. My lesion was 13 mm. 8 ablations about 1 minute/ 2 minute each
Not difficult to be still. Most of the time is spent measuring for accuracy. Last thing was a follow up MRI confirming clear margins.
Next PSA is done here in Vegas. Results I will send to Halo.
I am 78 and as of today I am not planning any additional treatment due to all the associated problems
I can accept my FLA as palliative, Pca is normally multi focal about 80% of the time. 92 % of the time the index lesion (highest Gleason) is the one that spreads. I had only one, it is now gone. Hope this helps.

Thank you for your reply. Technology never ceases to amaze me.
Sounds like your one lesion was completely ablated, and that could be considered cure. Since this is focal treatment, there is remaining prostate tissue which might someday develop a lesion, and hence, you're calling focal treatment palliative, is that correct?
On my initial consult with an urologist who performs the Tulsa Pro procedure (Tulsa: trans urethral ultra sound ablation), he is giving me the choice to either ablate just the lesions, one main one and one very small one, both on the right side, which might be called "palliative;" or ablate both right and left sides, essentially the entire prostate, which could then likely be considered "curative." There are similar limited side effect profiles either way (low). Nerve bundles likely would be preseved. You have been helpful, thank you!

Yes , I call it palliative because of that possibility. Dr Herz had given me a statistic. One in five people will have a recurrence of Pca regardless of treatment,that is across all Gleason Scores. My Gleason was high on the ablated lesion, so I interpreted my possible recurrence greater than 20%. At 78 and knowing how Pca typically reacts, I am now going to do the required PSA. Also will keep watch with annual MRI. I am thrilled right now knowing the index lesion is no longer. Best of luck in your decision. I do suggest a tele consultation with Dr Herz.