Question 1

What is HIFU and how does it work?

Accepted Answer

HIFU (High-Intensity Focused Ultrasound) uses focused sound waves to precisely target and ablate prostate tissue. Like a magnifying glass focusing sunlight, HIFU concentrates ultrasound energy at a specific point, raising the temperature to treat the targeted area while leaving surrounding tissue unharmed.

Question 2

Am I a candidate for HIFU treatment?

Accepted Answer

HIFU is typically recommended for patients with localized prostate cancer or BPH who want to preserve quality of life. Ideal candidates have a prostate size suitable for the procedure and cancer that has not spread beyond the prostate. Your doctor will evaluate your specific case through imaging and biopsy results.

Question 3

What are the side effects of HIFU?

Accepted Answer

HIFU has significantly fewer side effects compared to traditional surgery. Most patients experience temporary urinary symptoms that resolve within weeks. The risk of incontinence is near zero in most cases, and erectile function preservation rates are high. Your specialist will discuss your specific risk profile.

Question 4

How long is the recovery after HIFU?

Accepted Answer

Most patients go home the same day and return to normal activities within 2-3 days. You may have a catheter for 1-2 weeks. Strenuous activities should be avoided for 2-3 weeks. Full recovery typically occurs within 4-6 weeks.

Question 5

Is HIFU covered by insurance?

Accepted Answer

Many insurance plans cover HIFU treatment for prostate cancer. Coverage varies by provider and plan. Our patient coordinators will help verify your coverage and discuss financing options. We also offer competitive self-pay rates that are typically 40% less than hospital-based procedures.

Question 6

How effective is HIFU for prostate cancer?

Accepted Answer

Clinical studies show HIFU achieves cancer control rates of 90-95% for localized prostate cancer. The technology has been used for over 18 years with more than 60,000 procedures performed worldwide. Recurrence rates are typically 4-6%.

Question 7

Can HIFU be repeated if cancer returns?

Accepted Answer

Yes, one of the key advantages of HIFU is that it can be repeated if needed. Unlike radiation therapy, there is no cumulative limit. Additionally, HIFU does not prevent you from pursuing other treatments in the future if necessary.

Question 8

What happens during the HIFU procedure?

Accepted Answer

The procedure is performed under light sedation or general anesthesia. A specialized probe is inserted rectally to deliver focused ultrasound to the prostate. Real-time imaging guides the treatment. The procedure typically takes 2-3 hours depending on prostate size.

Question 9

How do I prepare for HIFU treatment?

Accepted Answer

Preparation includes bowel preparation the day before, fasting after midnight, and stopping certain medications. Your care team will provide detailed instructions. You'll also have a pre-procedure appointment to review the treatment plan and answer any questions.

Question 10

What follow-up is required after HIFU?

Accepted Answer

Follow-up typically includes PSA testing every 3 months for the first year, then every 6 months. An MRI is usually performed at 6-12 months. Your urologist will monitor your progress and address any concerns throughout your recovery.

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