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Simply put, most U. Also, many Urologists and institutions have invested millions of dollars into radiation machines that are a direct alternative to HIFU treatment. They may be hesitant to advise a treatment that would devalue those investments. With prostate cancer, as much as any other similar diagnosis, you will most likely be offered the treatments that your doctor feels comfortable providing and getting additional opinions is critical.
Prostate Cancer is not a simple or single disease. So, if your doctor thinks that you would not fare well with complications or that you are too old or sick to benefit from treatment you may not be steered towards treating your prostate cancer. Watchful Waiting or Active Surveillance is an excellent choice for patients with small volume prostate cancer or those with poor health or those wanting to avoid all sexual and urinary side effects of treatment.
Unfortunately, this treatment strategy involves, repeat biopsies, regular lab draws and doctor visits and the anxiety shared between you and your loved ones. We will generally advise our patients who have Prostate Cancer localized to the prostate who are interested in treatment to carefully weigh the risks of each choice and balance the risks with the expected cure rate.
Men who have aggressive cancer and a long life expectancy will generally be advised to have a radical robotic prostate removal. However, many men, even with advanced cancer, would rather proceed with HIFU to preserve sexual and urinary function even though additional treatment may be required in the future.
HIFU treatment is also a perfect alternative to active monitoring and radical treatment by surgery or radiotherapy. Being effective in a minimally invasive manner, it preserves the quality of life of patients by removing the psychological stress that active surveillance can represent for the patient. Why has my doctor not told me about the procedure?