Who would be suitable for HIFU?
Men with localised biopsy proven prostate cancer, who understand the treatment options
of surgery, brachytherapy, radiation therapy, cryotherapy and active cancer surveillance,
and accept the risks of minimally invasive HIFU treatment, are considered suitable
for HIFU.
The following are important selection criteria; |
- Clinical Stage T1-T3 N0 M0 (localised prostate tumours)
- Gleason score 5-8
- 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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