'Power of sound' to destroy PC?

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Regular Member

Date Joined Sep 2008
Total Posts : 143
   Posted 6/9/2009 12:14 PM (GMT -6)   
Just ran across this article. Interesting concept and new therapy.
Bill in San Diego
Age 60 (59 when Dx) PSA 4.4
Biopsy 5/15/08 Gleason (3+3=6)
Bone scan and pelvic CT: clear
HT - 2 mo Casodex, 3 mo Trelstar
RRP Surgery 9/15/08 La Mesa California
Post-OP Gleason 3+4=7, Stage pT2c pN0 MX
Seminal vesicals, perineural margin, 18 lymph nodes, bladder neck: all carcinoma free
Perineural invasion & Distal Margin: Carcinoma present
IMRT adjuvant radiation (35 Treatments) End 1/27/09
PSA (10/13/08): <0.1
PSA (3/13/09): <0.1

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 6/9/2009 1:48 PM (GMT -6)   
I didn't think that HIFU was a new therapy. Not sure but I think it has been overseas for several years now. Haven't kept up on this, but has it had FDA approval for use in the US yet?
You are beating back cancer, so hold your head up with dignity
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06

Regular Member

Date Joined Jan 2009
Total Posts : 189
   Posted 6/9/2009 1:55 PM (GMT -6)   
Hardly new. HIFU has been used successfully in Europe for more than a decade- I have read that a lobby on behalf of urological surgeons and radiotherapists have kept it out of the US to this point- been available in Canada and Mexico for years.

63 years old-tumor discovered on digital exam- biopsy December 2008-
4 of 12 samples positive-all on right side
Gleason 3+3=6
Otherwise excellent health.
Brachytherapy- May 19, 2009 -so far, so good.
  "There may come a day when the courage of men will fail, but it will not be this day."

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 6/9/2009 2:12 PM (GMT -6)   
With better prostate cancer screening, especially PSA tests, more men are being diagnosed with prostate cancer and at younger ages. They are also being diagnosed at earlier stages. Given the serious possibility of diminution of quality of life from traditional treatment by radiation or prostectomy there has been a new interest in treatments which can attack localized cancers with far less chance of side effects. These focused techniques, including cryogenics, ultrasound, and microwave, offer a middle ground between watchful waiting and traditional therapies for men with localized prostate cancer.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.

Regular Member

Date Joined Nov 2008
Total Posts : 299
   Posted 6/10/2009 4:11 PM (GMT -6)   
Let's be real. It will never cost $6,000 in the US. The FDA won't approve it for another 5 to 10 years. When Caverject goes off the market for 18 months because the FDA had an issue with the labeling, I don't think HIFU will get anywhere quickly.

You also need to read about the awlful side effects when something goes wrong. It's not a perfect solution except for the early diagnosed guys.
Age 60
PSA 2007 4.1
PSA 2008 10.0
Diagnosed April 2008
Biopsy: 6 of 12 cores positive
Gleason 4 + 5 = 9
CT and Bone Scan negative
Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared
Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th
lymph nodes negative
PSA Sept 28, 2008 0.00
PSA Jan 22, 2009 0.00
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.

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