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Who would be suitable for HIFU?
Men with localised biopsy proven prostate cancer, who understand the treatment options of
robotic/radical prostatectomy, brachytherapy, radiation therapy, or active cancer surveillance,
and accept the relatively minor risks of HIFU treatment, are considered suitable for HIFU.
The following are important selection criteria; |
- Clinical Stage T1-T2 N0 M0 (localised prostate tumours)
- Gleason score 5-7
- Preferably less than 50% prostate biopsies involved with cancer
- PSA less than 20 ng/ml
- Prostate volume less than 40cc and minimal prostate calcification
(measured on transrectal ultrasound scan)
- No underlying prostate obstruction to urine flow. Some men require
preliminary TURP to remove part of the prostate prior to HIFU.
- Previous TURP even years ago is ok
- Previous failed external beam radiation therapy is ok, as HIFU
suitable for salvage treatment.
- No active disease of the anus/rectum
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