Alternative Treatments for Prostate Cancer - HIFU

HIFU treatment uses high frequency ultrasound energy to heat and destroy cancer cells in your prostate gland. When high frequency sound waves are concentrated on body tissues, those tissues heat up and die. To use this as a cancer treatment, the specialist targets the area containing the cancer.

HIFU is a great advancement over other prostate cancer treatment options as this technique involves heating only the tumours with a highly focused ultrasound, will mean men can be treated without an overnight stay in hospital and avoiding the distressing side effects associated with current therapies.

If you have an enlarged prostate and your urologist (a doctor who specialises in identifying and treating conditions that affect the urinary system) recommends you for HIFU, you may be offered another type of treatment beforehand to shrink the gland. For example, you may be given hormone therapy, or a procedure called transurethral resection of the prostate.

What are the Alternatives to HIFU ?

The type of treatment you have for prostate cancer depends on whether the cancer has spread, and if so, how much. If you’re invited to take part in a clinical trial for HIFU, your surgeon will make sure you’re aware of the other treatment options that are available.

Alternative treatments for prostate cancer include the following : - 

Watchful waiting – This involves monitoring the cancer, but not treating it unless it grows.

Surgery – Your prostate may be removed using either open or keyhole surgery.

Radiotherapy – This is where radiation is used to destroy cancer cells.

Brachytherapy – This involves having small, radioactive seeds put into your prostate. There is also high-dose rate brachytherapy, in which radiation is put into your prostate for a few minutes at a time.

Cryotherapy – Liquid gas is used to freeze and kill the cancer cells (but is only offered as part of a clinical trial).

Chemotherapy, which uses medicines to destroy cancer cells, and hormone therapy can be used to treat more advanced forms of prostate cancer.

Preparing for HIFU

Your surgeon will explain how to prepare for the procedure.

HIFU is usually done as a day-case procedure under general anaesthesia. This means you will be asleep during the procedure. If you’re having a general anaesthetic, you will be asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it’s important to follow your surgeon’s advice.

Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand what will happen, and you can help yourself by preparing questions to ask about the risks, benefits and any alternatives to the procedure. This will help you to be informed, so you can give your consent for the procedure to go ahead, which you may be asked to do by signing a consent form.

What Happens During HIFU?

HIFU takes up to three hours, but this depends on the size of your prostate and how much of it is being treated. Your surgeon will pass a lubricated probe into your rectum. The probe gives out a beam of ultrasound, which your surgeon will focus so that it heats and destroys the area of prostate tissue where there is cancer. The probe will have a cooling balloon around it to protect nearby areas from the high temperature

Recovering from HIFU

If you’ve been prescribed antibiotics, it’s important to complete the full course. If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen.

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