HIFU, or high-intensity focused ultrasound, is a cutting-edge therapeutic option for prostate cancer.

This minimally invasive treatment uses high-frequency ultrasound, or sound waves, to target, heat, and destroy areas of prostate tissue.

Unlike surgery and radiation, HIFU is very exact. It is able to precisely target only the affected area, ensuring exceptional accuracy in treating the cancerous tissue.

Ideal candidates for HIFU are men with early-stage (low Gleason score), low-grade prostate cancer that is confined to the prostate and visible on an MRI or ultrasound.

HIFU is designed to target a single tumor or a specific part of a larger tumor, making it unsuitable for treating cancer that has spread beyond the prostate.

HIFU is effective for men with:

• Early-stage, localized prostate cancer that hasn’t spread outside the prostate.
• Recurrent prostate cancer, especially when other treatment options are limited.
• Patients who have previously undergone radiation therapy and experience a rise in PSA levels, indicating that the cancer has returned.

HIFU is a promising option for treating prostate cancer with fewer side effects and a quicker recovery time in men who are candidates for this treatment.

With HIFU, high-frequency sound waves can move through healthy prostate tissue without causing any harm. When sound waves converge at a specific point in the prostate, the tissue temperature rapidly rises to about 194 degrees Fahrenheit. This temperature increase effectively destroys the abnormal prostate tissue while leaving healthy tissue intact.

HIFU is a precise and targeted therapy that reduces the risk of complications that can be seen with surgery and radiation treatments. Patients often experience fewer side effects and a quicker return to normal activities. Benefits of HIFU include:

• Zero incisions, which reduces the risk of infection and results in quicker healing
• Precisely directed sound waves that can spare surrounding healthy tissue
• A return to normal activities within several days
• A lower risk of complications such as incontinence and erectile dysfunction (ED)

When you undergo the HIFU procedure, you can expect it to last 1-2 hours, depending on the targeted treatment area. The procedure is done under general anesthesia, so you’ll be asleep and won’t feel any pain.

A suprapubic or Foley catheter will be placed during the procedure to help you urinate. This catheter typically stays in place for about 5-10 days to ensure you can pass urine easily as you heal.

A small ultrasound probe emitting high-frequency sound waves is inserted into the rectum.

Your doctor uses advanced software to merge MRI and real-time images of the prostate. This helps them to locate the tumor and target only the affected area.

High-frequency sound waves are directed to the precise prostate area, destroying cancerous tissue while leaving healthy tissue intact.

After the HIFU treatment, you’ll spend about 30-60 minutes in the recovery area. Once you’re ready, you can go home to recover in the comfort of your own space. It is essential to take it easy for the first few days while slowly resuming normal activities.

If you’ve been diagnosed with prostate cancer, you may be wondering if HIFU will work for you. The first step is to meet with a physician who provides HIFU as a treatment. They will partner with you to review your diagnosis and your medical history, along with your treatment preferences. At Oregon Urology Institute, Dr. Christopher Kyle offers HIFU treatment – call (541) 334-3350 to schedule an appointment with him today!

1. How does HIFU compare to traditional prostate cancer treatments?

HIFU offers a minimally invasive alternative to traditional prostate cancer treatments like surgery and radiation. Unlike surgery, HIFU doesn’t involve incisions, reducing infection risk and speeding up recovery time. Compared to radiation, HIFU specifically targets the tumor, sparing healthy surrounding tissue and reducing side effects such as urinary and bowel issues. Additionally, HIFU can be repeated if necessary, providing flexibility in treatment options. However, it is not a good treatment option for men with a higher Gleason score.

2. What can I expect during the recovery period after HIFU treatment?

After HIFU treatment, you will spend about 30-60 minutes in recovery before being discharged to go home. It’s normal to feel some mild discomfort, but most patients find they can resume light activities, like taking an easy walk, the same day. You’ll need to use a catheter for a few days to a week to help with urination. Your doctor will give you specific instructions on post-procedure care, including activity restrictions and follow-up appointments to monitor your recovery.

3. Are there any dietary restrictions or lifestyle changes I need to follow after HIFU treatment?

While there are no strict dietary restrictions after HIFU treatment, maintaining a healthy diet can support your recovery. Staying hydrated and eating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains is advisable. Avoid heavy lifting and strenuous activities for a few weeks, as directed by your doctor. Light exercise, such as walking, can aid in your recovery but always follow the specific recommendations given by your doctor.