HIFU

HIFU or high intensity focused ultrasound is a treatment for localised prostate cancer that used high energy ultrasound waves to heat the prostate and destroy the cancer.

The treatment is suitable for patients with untreated prostate cancer but also for those who have developed a recurrence after previous radiotherapy. Additionally if previous detailed biopsies (Template biopsies) show that the cancer is just in one particular location within the prostate it is possible to treat just that portion (Focal Therapy) thereby reducing side effects.

The procedure is performed under a general anesthetic and takes about 2.5 hours. A probe is placed transrectally and a detailed ultrasound map is taken of the prostate. Careful planning occurs to decide the precise location where the treatment will take place but once this has been done the machine delivers the treatment robotically. A burst of high energy ultrasound is delivered from the probe that causes local heating and cigar shaped burns to the prostate destroying the tissue. This is repeated many times across the whole prostate until the treatment is completed.

Picture
Picture
Picture
Click on an image to enlarge

HIFU causes swelling of the prostate so after the procedure a catheter is left in the bladder. The patient can go home the next day and arrangements are made to bring them back for removal of the catheter about 2 weeks later when everything has settled down. The time period that the catheter needs to remain can be reduced by performing an additional procedure at the beginning of the operation whereby a small amount of prostate is resected (a limited TURP) to widen the channel through which the urine passes. This is done under the same anesthetic.

One of our surgeons, Mr Woodhams, was taught the technique in Lyon, France in 2006 under the supervision of Professor Gelet who was one of the pioneers of the procedure. Mr Woodhams employs the services of MobileHIFU who have experience of treating over 400 cases.

 

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HIFU or high intensity focused ultrasound is a treatment for localised prostate cancer that used high energy ultrasound waves to heat the prostate and destroy the cancer.

The treatment is suitable for patients with untreated prostate cancer but also for those who have developed a recurrence after previous radiotherapy. Additionally if previous detailed biopsies (Template biopsies) show that the cancer is just in one particular location within the prostate it is possible to treat just that portion (Focal Therapy) thereby reducing side effects.

The procedure is performed under a general anesthetic and takes about 2.5 hours. A probe is placed transrectally and a detailed ultrasound map is taken of the prostate. Careful planning occurs to decide the precise location where the treatment will take place but once this has been done the machine delivers the treatment robotically. A burst of high energy ultrasound is delivered from the probe that causes local heating and cigar shaped burns to the prostate destroying the tissue. This is repeated many times across the whole prostate until the treatment is completed.

Picture
Picture
Picture
Click on an image to enlarge

HIFU causes swelling of the prostate so after the procedure a catheter is left in the bladder. The patient can go home the next day and arrangements are made to bring them back for removal of the catheter about 2 weeks later when everything has settled down. The time period that the catheter needs to remain can be reduced by performing an additional procedure at the beginning of the operation whereby a small amount of prostate is resected (a limited TURP) to widen the channel through which the urine passes. This is done under the same anesthetic.

One of our surgeons, Mr Woodhams, was taught the technique in Lyon, France in 2006 under the supervision of Professor Gelet who was one of the pioneers of the procedure. Mr Woodhams employs the services of MobileHIFU who have experience of treating over 400 cases.

 

BACK