Hopefully the GP has calmed your nerves somewhat. HIFU is legal in Canada and in stage three trials in the US. It is an out patient procedure. I looked at this when considering my own treatment options. I would have traveled to Montreal or Toronto. I believe you said you were in Canada so one may be close to you. I also investigated Cryo. Very similar procedure only they freeze everything rather than heat it. The doctor I spoke to about the cryo also does the HIFU in Canada. The cryo is done in the US. His name is Dr Steven Scionti. He not only performs the procedure but also teaches it to other doctors. He is located in Hilton Head, SC US.
I did not choose either method due to the evidence of lymph node involvement. I went with IMRT/IGRT. Very little in the way of side effects related to the radiation. I am also taking hormones and have the typical side effects from that.
I have just completed a book by Dr Myers that you may find interesting. And I will also recommend a few others. There is also a book by Dr Peter Scardino that explains the medical jargon and range of treatment options quite well. If proton beam is on your list then I suggest the book by Robert Marckini. If you are interested in brachytherapy try the book by Thomas Farrington. The books by the doctors are both good. The other two books have some bias as they both recommend the respective treatment that worked for the author. But, the information is factual and accurate or at least agrees with other sites I have checked.
As Selmer said take some time to research, question and digest all of the information. I took about six weeks before making the final decision as to what and where and who. After that don't look back and don't second guess your decision.
Good luck to you and hope for peace of mind to you and your wife.
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09