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Any experiences with HIFU localized ablation for prostate cancer?

Posted by jfgunion @jfgunion, Jul 6, 2022

I am interested in anyone who has had this treatment for well-localized cancer in the prostate and what their experience was/is.

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William | @willgranger1127 | 4 days ago

I had HIFU in 2018 in Charlotte, NC. It was localized. Gleason 3+3, I think. No problems before and none after. PSA went from 4.5 to 0.5. It has inched back up to 1.5, which my uro doctor says is way low. I’m 77. Carolina Urology 704/660-3322 Dr. David Konstandt.

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matthewdore | @matthewdore | 4 days ago
In reply to @dgbauto "Hello, I had Hi-Fu surgery at University of Chicago medicine. Hi-Fu treats the prostate from the..." + (show)
@dgbauto

Hello, I had Hi-Fu surgery at University of Chicago medicine. Hi-Fu treats the prostate from the outside of the prostate . Tulsa Pro was offered to me about one and a half years later as a new attempt to reach areas missed from the initial Hi-Fu. Tulsa pro enters the prostate and treats it from the inside out. My argument was even the areas treated with Hi-Fu showed up as returning cancer in the PSMA scan that I had done at Northwestern Hospital in Chicago. That is why I questioned the whole Hi-Fu procedures effectiveness. It just didn't work for me. On a case by case it may work for others. I chose it knowing I only had about a 60% chance ( Dr. quote) of success, as it seemed to be the easiest recovery and least invasive. Ultimately had to undergo SBRT for 27-8 visits along with a hated 4 mth ADT shot. Good Luck to you....

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Hey dgbauto,

sorry about the relapse. when did you get the IFU at UC? do you remember your #'s pre -op? Did you have a decipher test pre-op?

hang in.

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| @mississippimud | 3 days ago
In reply to @willgranger1127 "I had HIFU in 2018 in Charlotte, NC. It was localized. Gleason 3+3, I think. No..." + (show)
@willgranger1127

I had HIFU in 2018 in Charlotte, NC. It was localized. Gleason 3+3, I think. No problems before and none after. PSA went from 4.5 to 0.5. It has inched back up to 1.5, which my uro doctor says is way low. I’m 77. Carolina Urology 704/660-3322 Dr. David Konstandt.

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I HIFU in 2020 and like you PSA went down very low, but creeping back up. PSMA showed PC also spread to seminal vessel. Went to MDAnderson who said they didn’t do HIFU. They did transrectal biopsy without success. Said check psa in 6 months when it more than doubled. They then did transperinial biopsy (which Mayo I read does from beginning) which found Gleason of 9. I had Proton Radiation and Lupron. PSA staying around .03.
Hope my experience helps.

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