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HIFU in Phoenix area
I had a partial HOLEP after I was not able to urinate, and they found cancer - Gleason 3+4. An MRI showed that there was PI-RADS category 4 suspicious mass, right posterior lateral basilar peripheral zone. I will get a biopsy in March. Everyone wants me to have radiation, but I would rather have HIFU. I would like to hear from people who have had this procedure especially in the Phoenix area.
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spaccer . What do you know about prostate cancer and the dozens or more Focal Therapy treatment options other than HIFU ? How do you know you qualify foor HIFU ? Have you educated yourself on " Prostate Cancer " ? - If not read Dr. Patrick Walsh's book : Guide to Surviving Prostatte Cancer .
You can gain a lot from this forum . But 1st and foremost . Educate yourself and don't panic and make a knee jerk treatment decision you may regret the rest of your life .
We need additional information . How many cores were taken at your Biopsy .? How many were positive for cancer ? What were the Gleason Score of EACH positive core ? Did you know Gleason 3 + 4 = 7 is an intermediate risk cancer ? In fact : Do you know the risk of each Gleason Score ?
Looking forward to your response . You may be put on a "Do nothing Treatment " -- EXCEPT Active Surveillance
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2 ReactionsI will have a biopsy on March 12th. I will let you know the results. I know that with Gleason 3+4, active surveillance is an option, but I would like to do something that is minimally intrusive to improve my chances of success. I will look at the book. I am interested in learning more about other focal therapies.
Lots of discussions on Uro Today about your situation.
As I understand it, if the percentage of Gleason 4 is very low, observation may be a good bet. Lots of new ways like urine tests, PSE tests, and Decipher tests to get a sense of how aggressive your PC is that might argue against surveillance. A rapid PSA doubling time usually seen as being less than a year indicates relatively more aggressive PC for many docs.
Lots of info on this on Uro Today.
Good luck!
Thanks for the info. I will check it out
@spaccer. You may be put on active surveillance initially . The go to treatment currently , excluding any Focal Treatment options , is Monotherapy SBRT . 5 Treatments . Mon-Wed - Fri and Mon - Wed the following week . Minimal side effects .
Long term radiation treatments are fast becoming old school .