Posted 10/19/2019 7:57 AM (GMT -7)
While research is good and necessary, your leaning toward treatment options is premature. You don’t know whether you have PCa. If you do, you don’t know the Gleason grades and scores and the extent of involvement by the number of positive cores and percentage of involvement. Right now you are somewhere in the range of no cancer to high grade cancer. You just don’t know. Treatment methods would be markedly different along that range and may. Specifically preclude the two methods you mention.
Regarding HIFU, it is not FDA approved to treat PCa. The reason is that it has not proved to be effective. It is approved for prostate tissue ablation and reimbursement conditions greatly control who the provider can be.
Focal treatments are not mainstream since most PCa is multifocal. Preponderance of treatments treat the entire gland, not parts of it. If you have a non-radiated prostate that receives focal laser to a suspected cancerous spot, the rest of the prostate continues to be ripe for PCa development. If it continues it will require subsequent treatments and further disease risk. You are looking at “one and done” without side effects. Focal treatment is not proven to do that.
As to traditional treatment side effects, yes they are expected. All treatments, including the two you have mentioned, will include side effects. As for me, I had extensive maximum radiation therapy combining HDR brachytherapy and EBRT. Nine years later I have no negative treatment side effects. The radiation impact on my QOL is that it eliminated the PCa. Exactly the treatment side effect I was hopping for.
Continue to research, without preconceived limits, get the biopsy, understand it, and then determine what too do. My advice is to stick with common and proven methods that provide the highest probability of success and effectiveness. The first focus has to be on treatment effectiveness and couple this with expected treatment side effects. I chose the treatment method providing the highest probability of cancer control with the lowest expected negative side effects. For me that was radiation therapy and it has proven to be effective and exceeded my initial expectations.