Frequently
Asked Questions
Where is the procedure available
in the UK?
The HIFU procedure with the Sonablate is available in almost 20 locations in
the UK. In some locations it may be available on the NHS, for those who qualify.
Please call +44 (0)20 7691 3560 for any questions regarding treatment locations.
Is it a one-time procedure or
do I need multiple treatments?
In most cases, HIFU with the Sonablate is a one-time procedure that lasts approximately
two to four hours, depending on the size of the prostate. HIFU may be repeated
if necessary and unlike radiation, HIFU is a clean energy source and will not
prevent patients from pursuing other types of therapy in the event of a recurrence.
How do I know if I am a candidate
for HIFU?
If you have been diagnosed with localised prostate cancer that has not spread
or metastasized outside of the gland, you may be a candidate for HIFU. It is
recommended that you discuss your individual medical records and history with
a physician in order to confirm whether or not you are a candidate for HIFU.
What is the difference between
the standard HIFU procedure and Focal HIFU?
The standard HIFU procedure treats the entire prostate gland and is most appropriate
when the cancer is not confined to a discrete area of the prostate. Focal HIFU
treats only where the tumour is located. Focal therapy is only suitable for men
who have a single tumour inside the prostate or several tumours but all on the
same side of the prostate gland. A clinician can determine if a patient is a
candidate for the standard or focal Sonablate HIFU procedure.
What should I expect after I
have HIFU?
A catheter is left in place following the procedure for drainage of urine and
will remain for two to three weeks (varies according to each patient). There
is typically little pain associated with the procedure and patients should get
back to their normal routine within a few days. As with all medical procedures,
the results vary by patient. Consult your physician to fully understand the side
effects and complications associated with the HIFU procedure.
What happens to the urethra
during HIFU? Since it runs through the center of the prostate
is it destroyed during the procedure?
During the standard HIFU procedure, the entire prostate is ablated, including
the prostatic urethra. However, the urethra is derived from a different type
of tissue (bladder squamous-type epithelium (rather than prostatic tissue (grandular,
fibrotic and muscular). While the urethra is an important anatomical structure,
the sphincter and bladder neck are more important to maintain the urinary function.
