After being diagnosed with a Gleason 7, 14.1 PSA, my Urologist in Dallas, Texas told me that because of my age (75) and several Heart bypass surgeries my alternatives were Radiation (they own their IMRT LAB) and Hormone Therapy.
I began taking Casodex for a month and was given a shot (three month) of what I imagine was Lupron.
Began looking for my own alternatives and decided to go to the Ablatherm HIFU being done in Munich at a major Hospital, mainly because of the reputation of the Doctors (Prof. Chaussy) and the fact they had done 1,600 treatments doing twice a day.
After I sent them all my information including Bone and CT Scans besides the Biopsy report, I was told thold that I was the perfect candidate for HIFU and quoted me a quote of more or less 10,000 all inclusive.
I was given an appointment for March 1, and was seen by one of their Urologists Dr. Neurmayr who himself did an ultrasound of my prostate and ordered an EKG, and was interned and prepared me for next day.
On March 2, I was given an epidureal anesthesia which I did not feel at all, and they placed my legs in what I assume is a gynecological position, and they placed a curtain at my waist and then I woke up briefly to take me to the HIFU Room, which I slept through and woke up in a recovery room with terrible shivers which was told are common after that anesthesia.
Next day I was taken to my requested private room and felt pretty good considering I had the two catheters.
Although English was no problem with the Doctors, I was fortunate that my son in law that accompanied me and travels constantly to Germany on business did pretty good at translating.
Dr. Steil who I beleive did the HIFU and followed up on me constantly was incredible as the rest of the staff.
Prof. Chaussy and Dr. Steil came to see me with the good news that after reviewing all the remaining tissues that were left in the TUR material of the prostatic gland they found no evidence of malignancy.
Next day a Doctor removed my penis catheter and was told to urinate which I did and initially it came out with some blood, but then I began to urinate as I had not done in decades.
Unfortunatelly next day the system got clogged up and I could not pass any urine, and Dr. Steil with incredible sensitivity ran a catheter to the bladder and then injected what seemed alot of water into my penis and was told to expect the pressure in my bladder. When that happened he opened up one of the external catheters tubes and all that was clogged up including all the water were releaased.
Since that happened the entire schedule was postponed and I was finally released on the 12th with instructions to enjoy the Munich attractions for a few days before checking me out, which happened on the 14th when a Dr. did an ultrasound of the bladder and kidneys and since evrything was OK, I visited with Prof. Chassy, and extended my thanks to himself and his staff.
I have unfortunatelly been in some top Hospitals in the US and Mexico, and there is really no way I can compare the tratment and dedication given to me in Munich.
My all-inclusive Hospital Bill was under 8,000 Euros, plus Hotel stay and was suggested to travel First or Business Class, so the total bill was under $20,000.00
I have been home for over a week and in recovery, and will probably stay home at least a couple of weeks. I have been taking a couple of pain pills about twice a day and some orange pills that I was told serve as a minor relief from the burning when urinating.
The only other thing in addition is that I inject myself a dosis of Blood Thinner which continue for another week.
As to some additional information to guys in initial stages of PC, HIFU is done and accepted by all Countries in the European Union plus Japan, Russia, Korea, and Mexico.
Munich has a Proton Center a couple of miles away from the Hospital I was at, and was told Doctors about it and they said, "Sure, we do radiation when there is no other alternative"
Both HIFU equipments Sonnablate and Ablatherm and under Class III Clinical trials by the FDA, and I am sure they will be accepted as common practice when all the expensive Radiation Centers are depreciated. With over 10 years of experiance doing HIFU in Countries just as advanced as ours that should be accelerated and not wait for more patients with burned out holes in both Rectum and Urethra.
Should you want additional information, contact me and I'll send you my e-mail address or phone number