HIFU is being used fairly extensively in Canada as well as in Europe. If you Google HIFU you can get tons of info. There are clinical trials underway in the USA but, as others referenced, this treatment is not yet approved by the FDA for broad treatment of PCa. Therefore, this protocol is not approved nor paid for by most US medical insurance.
I actually researched this fairly extensively along with many other options as I had early stage cancer with multiple treatment opportunities. If I had felt in my heart that this was right for me, I would have found a way to pay the $30K and done it. However, I finally decided that I wanted a treatment with longer term verified results, so I narrowed it down to radiation and surgery...ultimately choosing radiation.
I suspect that HIFU will ultimately be approved by the FDA, become insurance reimbursable here and become another option from which we can confidently choose. However, for me anyway, I wanted something a little more proven.
Gleason 4 +3 = 7
2 of 16 cores cancerous
Brachytherapy December 9, 2008. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Regular activities resumed, everything continues to function normally as of 12/30/08.