Prostate Cancer- Focal not “Sledgehammer” Approach

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It (HIFU) clearly reduces genitourinary morbidity (in prostate cancer) significantly more than radical prostatectomy

I was listening to a local radio show yesterday morning. One of the DJ’s, Deter (his show name) glumly recounted how he had spent most of the previous night with his dad in the hospital. Deter’s dad had been diagnosed with prostate cancer.

Illustration Of Prostate

Deter represented what I consider a typical prostate cancer caregiver. A knowledgeable caller mentioned a prostatectomy or surgery to remove the entire prostate gland.  “Side effects” said Deter… “no problem”“I mean wouldn’t you want the cancer cut out of you at any cost???” Deter said incredulously.

Having lived with extensive collateral damage from aggressive conventional therapies, all I could think of was how misguided Deter was. As the article below calls it, prostatectomy is the sledgehammer approach to prostate cancer therapy.  High intensity focused ultrasound (HIFU) is a lumpectomy.

The article linked and excerpted below talks about High-Intensity Focal Ultrasound (HIFU) therapy for prostate cancer. HIFU therapy for prostate cancer offers lower morbidity, fewer side effects and idea of living with at least some prostate cancer still inside your prostate.

The fact is there are many non-conventional therapies for prostate cancer that offer less morbidity and fewer, if any, collateral damage.

For more information about non-conventional prostate cancer therapies scroll down the page, post a question or a comment and I will reply to you ASAP.

Thank you,

David Emerson

Cancer Survivor

Cancer Coach

Director PeopleBeatingCancer

Focal Therapy for Prostate Cancer, Instead of ‘Sledgehammer’ Approach

“One of the pioneers of focal therapy for prostate cancer, which has been described as a “male lumpectomy,” says that cancer control is good in the short and immediate term, and the majority of men retain potency and continence…

It (HIFU) clearly reduces genitourinary morbidity significantly more than radical prostatectomy, he told Medscape Medical News

“The first concept was to send patients to active surveillance for a single small cancer, which is now routinely done. The second concept was to treat the index lesion with focal therapy modalities,” he said. “But you can mix the two together,” he explained. “You can treat one lobe with the index lesion and not treat the other lobe with a single very low micro-foci of cancer.”

I’m totally in line with this approach, and I favor HIFU as well, because it is easy for urologists to do, it’s very effective, and we can offer it as a same-day surgery,” he said…

In fact, when Dr Ahmed first started the focal therapy program at University College London about 8 years ago, “we were all doing radical prostatectomy and it was quite clear that the surgery carried significant morbidity — on average, 20% incontinence, 50% erectile dysfunction — and this in the best of centers,” he told Medscape Medical News...



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