Received Focal HIFU from Dr Hashim Ahmed from Imperial college hospital in London on May 5.
Going in my PSA had climbed to 4.8 and biopsy revealed a Gleason 7(3+4) on the left side and a Gleason 6 on the right side.
The plan was to ablate the Gleason 7 (3+4) and leave the G6 alone. I was told the procedure had little risk of side effects to continence and erection but was advised that the region of the G7 would include destroying at least one seminal vesicle and maybe both.
Post procedure have had no issue with continence at all and urine flow and bladder retention is the same as pre procedure. I have healthy flow and sleep 7 hours a night.
No issue with erection. I even had some morning wood while I still had the catheter in and man that was painful and scary.
I do have less semen when ejaculating and it feels funny but I'm getting used to it.
Just had 3 month follow up. DRE was normal and PSA was down to 1.98!
I will continue with active surveillance with a PsA check every 3 months for at least 1 year and then evaluate after that. Also will continue with changes to exercise and nutrition to reduce risk of recurrence a little.
Thank you to everyone on this board for your ideas and support.
PS. It was very expensive and not covered by insurance.
56 years old
Post Edited (bdubs60647) : 8/21/2017 1:20:21 PM (GMT-6)