High-Intensity Focused Ultrasound (HIFU) is a non-invasive treatment performed under general anaesthetic for prostate cancer. It uses precision-focused ultrasound waves to heat and destroy cancerous prostate tissue without affecting healthy surroundings. The ultrasound waves create enough heat to destroy the cancerous cells, and treatment is continued until all the targeted cancerous prostate tissue is destroyed. This non-invasive treatment is performed under a general anaesthetic. Usually, patients are discharged later on the same day as the treatment.
WHAT ARE THE ADVANTAGES OF HIFU?
The ideal candidate for focal HIFU has intermediate-risk prostate cancer located in only one area of the prostate. This location is determined by prostate magnetic resonance imaging (MRI) and targeted prostate biopsy. Prostate cancer localized to one side of the prostate on biopsy and MRI allows for focal treatment with fewer side effects. Patients with early-stage prostate cancer that has not spread beyond the prostate are the best candidates for HIFU treatment.
If you have a fever or swelling in the testicles, see your doctor urgently, as you may have an infection.
Around 1 in 100 men with focal HIFU will have some minor urine leakage, comparable to the standard surgery and radiation therapy treatments. 2 in 3 men who had good erections before treatment will still have good erections after treatment. 1 in 3 men will need tablets or other treatments to help the erections. 1 in 4 men with a focal HIFU treatment will need another in five years. 1 in 15 men will need surgery or radiation therapy after a focal HIFU treatment. Having another surgery is usually more difficult after focal HIFU.
If you are diagnosed with prostate cancer and thinking about having HIFU, get in touch! Our expert urologist, can explain the benefits and disadvantages of every treatment option available for you.
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Robotic prostatectomy is a surgical operation performed in the treatment of prostate cancer. However, unlike traditional or laparoscopic procedures, robotic prostatectomy uses medical technologies and enables successful operations with fewer side effects. Robotic prostatectomy surgery is performed with Da Vinci Robot, located in a limited number of hospitals worldwide. The da Vinci Robot is one of the discoveries that has made a difference in modern medical practice.
Robotic surgery involves two machines: the patient unit and the control unit. You lie on the operating table, and the patient unit is beside you. The unit has four arms. One arm holds the camera, and the others hold the surgical instruments. The surgeon makes 5 or 6 minor cuts in your abdomen. The camera and instruments are put through the cuts to do the surgery. The control unit, where the surgeon sits, controls the patient unit. It is in the operating theatre with you but is separate from the patient unit. The control unit allows the surgeon to perform the surgery in a sitting position. Thus, the physician does not experience fatigue-related problems during long surgeries. The console, which offers a 3-dimensional, high-resolution and 16-fold zoom image, gives the surgeon complete control over the area where the operation occurs. Below the screen are the controls. The surgeon uses these controls to move the instruments in the patient unit. Any movements the surgeon makes turn into much smaller movements with the machine. Cutting and putting in stitches is easier with the robot. It also reduces shaking, allowing the surgeon to make tiny, accurate movements.
For patients with clinically localized prostate cancer, nerve-sparing robotic prostatectomy provides patients with a safe and minimally invasive technique for removing the prostate gland while preserving as much of the surrounding nerve structures responsible for penile erections.
This minimally invasive approach has the advantage of smaller incisions, reduced pain, blood loss, transfusion rates and hospital stay, compared to conventional open surgery with a similar cure rate. In select patients with locally invasive or metastatic cancer, morbid obesity, bleeding tendencies, or severe heart or lung problems, robotic prostatectomy may not be advised.
Among the advantages of robotic prostatectomy operation is less incision and, therefore, less blood loss. Thanks to the Da Vinci Robot, much fewer incisions are made compared to traditional methods, and the risk of infection, oedema and blood loss is reduced. Of course, this situation can significantly increase the patient's quality of life. Robotic prostatectomy allows patients to stay in the hospital for less time, and their general recovery is faster. With the advantages of robotic surgery, it can be said that the operation time is shorter.
In the process that begins after the robotic prostatectomy operation, it is possible to achieve urinary control and return to sexual life faster since patients undergo an application that is simpler compared to traditional methods and reduces the quality of lifeless. With fewer side effects, patients can recover without additional complications.
Since high performance is shown even in tight spaces with the Da Vinci Robot, it is possible to protect the anatomical structure and minimize nerve damage thanks to this function advantage.
If you would like to receive personalized advice to know whether or not you are eligible for radical prostatectomy, do not hesitate to contact us.
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