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What Is The Cost Of Hifu Treatment For Prostate Cancer

How Is The Recovery After Hifu Procedure For Prostate Cancer Treatment

HIFU and Prostate Cancer: What You Need to Know

Immediately after HIFU procedure for the treatment of prostate cancer there is a one to two hour recovery period at the hospitals and then you are discharged. Recovery is minimal. A suprapubic tube is inserted during the procedure that is usually worn for two to five weeks. People usually are up and walking around within hours after HIFU and can return to a normal lifestyle within a couple of days. Some HIFU patients experience frequency, urgency, mild discomfort or discharge in urinary stream. During your recovery time at home, a staff member is always available to guide you with any questions.

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  • List Of The Pros Of The Hifu Treatment For Prostate Cancer

    1. HIFU is approved by the FDA for treatment of prostate cancer.Although the high-intensity focused ultrasound procedure was hanging in limbo for several years waiting for regulatory approval, it is now available to men in the United States when they receive a diagnosis of prostate cancer. There are two systems currently available that can treat tumors or destroy diseased tissue, making it a useful option for many men. Medicare has already agreed to cover the treatment with their coverage protocol as well, which should impact its level of availability in the near future.

    2. It doesnât take long to produce the results that you want.The HIFU treatment option takes four hours or less to successfully deal with the prostate cancer. Some patients can have their procedure completed in 60 minutes because of how effective it is. Before you can have it done, your doctor will want you to have an enema to ensure that your bowels are empty. There is also a restriction in place that you cannot eat or drink anything for at least six hours before having the operation.

    Some men report that they have trouble urinating after having the HIFU procedure. They might also leak urine between trips to the toilet. There can also be pain between your rectum and testicles that medication can treat. Rare side effects include a UTI, blood in the urine, and a testicular infection.

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    Who Can Have Hifu

    HIFU will provide literally thousands of men with the opportunity to receive less invasive treatment and retain maximum functionality ongoing.

    The advantages of HIFU treatment for prostate cancer are superior to most current alternatives as it is usually a day stay procedure with a short recovery time of one to two weeks.

    HIFU is minimally invasive with no surgical requirement . It can also be repeated should your cancer recur, and it does not exclude other treatments if required such as radiotherapy or surgery.

    Unfortunately, HIFU is available in very few NHS hospitals right now but you can talk to your GP, consultant or nurse to see if it is available in your area.

    Making HIFU available to men across the UK is the main driving force of Prost8 as a charity and our aim is to raise funds and campaign to deploy at least one unit in each of the 14 UK NHS regions.

    Our ambition is high as each unit costs in the region of £500,000 but, if successful, our plan will achieve this within the next five years.

    However, it is unlikely that HIFU will be offered as an alternative if the cancer has spread outside of the prostate to other parts of the body although HIFU can be used in cases where the cancer has reoccurred after other treatments such as radiotherapy and is offered in these cases .

    How Things Function At Forerunners Healthcare Consultants

    What are the pros and cons of HIFU treatment for prostate cancer?
    • Only the best: Forerunners Healthcare Consultants works with only the best surgeons and doctors, a prerequisite in treating any medical condition home or abroad.
    • Primary care: We assist patients in arranging medical visa, accommodation for the patient and family, meals, appointment with surgeon.
    • Budget-efficient: Financial aspects affect medical treatments in a huge way, and our budget friendly packages at the best hospitals for HIFU prostate cancer treatment in India is within your budget.
    • Professionalism : The benefit of HIFU for Prostate Cancer Treatment in India through the Forerunners Healthcare Consultants is that the team ensures utmost care to maintain ethics in meeting patients medical needs.
    • Our other services: We also take care of quick visa letter, health diet as advised by your attending surgeon, to and fro airport travel, vacation tour, etc.

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    Main Side Effects Of Total Hifu Treatment :

    • Urinary incontinence, above one change per day : 1,5 à 3,1 % of patients
    • Temporary urinary retention : 0 9 % of patients
    • Preservation of sexual potency : 42,3 85 % of patients

    Crouzet, S., et al., Whole-gland ablation of localized prostate cancer with high-intensity focused ultrasound: oncologic outcomes and morbidity in 1002 patients. Eur Urol, 2014. 65: p. 907-14. Thuroff, S. and C. Chaussy, Evolution and outcomes of 3 MHz high intensity focused ultrasound therapy for localized prostate cancer during 15 years. J Urol, 2013. 190: p. 702-10. Ganzer R, Fritsche HM, Brandtner A, Bründl J, Koch D, Wieland WF, et al. Fourteen-year oncological and functional outcomes of high-intensity focused ultrasound in localized prostate cancer. Rischmann P, Gelet A, Riche B, Villers A, Pasticier G, Bondil P, et al. Focal High Intensity Focused Ultrasound of Unilateral Localized Prostate Cancer: A Prospective Multicentric Hemiablation Study of 111 Patients. Eur Urol.2017 71:267-73. Albisinni S, Aoun F, Bellucci S, Biaou l, Limani K, Hawaux E, Peltier A, Van Velthoven R. Comparing HIFU Hemi ablation to Radical Prostatectomy in the Management of Unilateral Prostate Cancer: a matched pair analysis. J Endourol. 2016 Oct 31 Crouzet S. et al. Locally recurrent prostate cancer after initial radiation therapy: Early salvage high-intensity focused ultrasound improves oncologic outcomes. Radiotherapy and Oncology 2012 Nov 105:198-202

    Hifu For Prostate Cancer Now Available At North Carolina Specialty Hospital In Durham North Carolina

    Posted on:

    CHARLOTTE, N.C., Sept. 13, 2017 HIFU Prostate Services, LLC, the leading provider of HIFU technology to physician practices in the United States, has partnered with North Carolina Specialty Hospital to offer HIFU for prostate cancer at their state-of-the-art hospital in Durham, N.C.

    At North Carolina Specialty Hospital, we pride ourselves on providing exceptional patient care while exceeding our patients expectations for quality and satisfaction. We are excited to partner with HIFU Prostate Services to provide prostate cancer patients minimally-invasive options in our patient-centered facility, said Joy Boyd, director of surgical services, North Carolina Specialty Hospital.

    Frank Tortora, MD, treated the first prostate cancer patients with HIFU this week at North Carolina Specialty Hospital. Michael Wolff, MD will begin treating patients next month.

    HIFU uses ultrasound energy that is precisely focused to rapidly heat and destroy tissue in the prostate. Due to its accuracy and precision, areas around the prostate are undamaged which greatly reduces the risk of side effects. Earlier this summer, a Medicare code was issued by the Centers for Medicare and Medicaid Services that may help some patients cover part of the cost of the HIFU procedure.

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    Less Tissue Destruction With Hifu

    At the point where HIFU is focused, intense absorption of ultrasound waves creates a rapid temperature increase in the tissue, which destroys cells in the targeted zone. By precisely moving the focal point of each wave, it is possible to destroy a volume of tissue without damaging surrounding tissue.

    As with any therapy, there are some side effects with HIFU. Urinary tract infection, scar tissue formation and erectile dysfunction can occur. The rate of cancer recurrence has been shown in some studies to be higher with HIFU and some patients go on to receive a second treatment, including repeat HIFU, radical prostatectomy or radiation.

    Because the ultrasound is delivered to the prostate transrectally, the most feared complication is rectal injury due to the high heat moving through the rectum. While there are safety mechanisms in place to monitor and control for rectal temperature, the impact of HIFU on the posterior plane between the rectum and prostate may make second-line therapy after HIFU more challenging.

    Several centers are using HIFU in the salvage setting, Scarpato said. I believe its a reasonable approach following radiation. The reason I hesitate to use HIFU for salvage therapy, at least initially, is that the tissue has already been subjected to some therapy and the tissue quality is likely compromised this may be associated with a higher risk of a rectal injury.

    Medicare Elite Access Hifu Program

    Prostate Cancer – HIFU Treatment

    The Scionti Prostate Center welcomes Medicare patients who chose HIFU for prostate cancer treatment. CPT Code, 55880, enables Medicare reimbursement of hospital outpatient facility costs.

    Elite Access Program Overview:

    • HIFU procedure is performed at Lakewood Ranch Medical Center in Lakewood Ranch, The Florida Medicare carrier has paid the hospital charges in every single case over the past year. This program is the most successful Medicare HIFU program in the USA with well over hundreds of Medicare patients treated.
    • Consultation with Dr. Scionti to develop a personalized treatment pathway for your prostate cancer that provides effective cancer treatment while maintaining your quality of life
    • Personal access to Dr. Scionti and his HIFU care team as you undergo treatment.
    • Our staff can assist you with Financing non-covered costs.
    • Precision MRI Fusion Guided HIFU treatment personalized for your prostate cancer characteristics performed by the most experienced HIFU physician in the United States.
    • Personalized Post HIFU care plan detailing follow-up, PSA testing, MRI monitoring, diet, lifestyle and nutritional supplement recommendations.

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    Questions To Ask Your Doctor Or Nurse

    • What are the advantages and disadvantages of HIFU?
    • Where is this treatment available?
    • Can I see the results of HIFU treatments you have carried out?
    • What are my other treatment options?
    • Will I have focal HIFU or whole-prostate HIFU?
    • What are the side effects of HIFU? How likely am I to get them?
    • How can I manage any side effects I get?
    • How will I know if the treatment has worked?
    • How likely is it that Ill need more treatment after HIFU?
    • What treatments are available after HIFU?

    What Are The Side Effects Or Complications Of High Intensity Focused Ultrasound

    Even though high-intensity focused ultrasound is generally associated with less side effects than radiation or chemotherapy, it is not free from potential side effects and complications. These include:

    • Erectile dysfunction, ejaculation problems, sexual impotence.
    • Urinary tract infections, incontinence, frequency, burning sensation, urinary retention.
    • Rectal wall injury, rectal incontinence, burning and bleeding from the probe.
    • Prostate infection.

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    What To Expect During Hifu

    HIFU treatment is like using a magnifying glass to intensely heat an area with sunlight. Ultrasound waves are the energy source, and high heat burns the cancerous tissues.

    HIFU procedures generally last two to three hours as outpatient procedures. During treatment, your physician:

  • Places a probe in your rectum
  • Focuses high-energy ultrasound waves on your prostate while monitoring the treatment area
  • As a targeted therapy, HIFU treats cancer only within your prostate, which minimizes side effects. Doctors can preserve the muscles, nerves and body structures responsible for nearby bodily functions.

    What Are The Advantages Of High

    Cost of Advance Hifu Treatment for Prostate Cancer

    Advantages of high-intensity focused ultrasound include:

    • It requires no surgical incisions into the body and doesnât use radiation.
    • It can exactly target diseased tissue, leaving non-targeted healthy tissue unharmed.
    • It is an outpatient procedure with a short recovery time. You can usually return to work or normal life in about 24 hours.
    • It reduces the risk of urinary incontinence and erectile dysfunction compared with surgery or radiation therapy.

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    What Is The Recovery Process

    During the first several weeks after the procedure patients typically experience urinary symptoms such as frequency and/or urgency to void. In the first one to two months patients may pass small amount days of blood, old prostate tissue or mucus-like material in the urinary stream. A urinary catheter is inserted and typically stays in your bladder for 2 weeks. Unlike catheters used after radical surgery, it does not go through the urethra so its far more comfortable and carries a much lower risk of infection. Dr. Pugach and his HIFU team will explain all of this to you in more detail when you come in for your consultation.

    The Sonablate Hifu Procedure

    The HIFU procedure typically lasts between 1-4 hours, depending on the size of the prostate, and is done under general anesthesia. During the procedure a suprapubic or foley catheter will be put into place to help with urination, and will typically stay in place for 1-2 weeks. After the HIFU treatment, patients will be in recovery for about 1-2 hours. Once released from the treatment center, patients return home to recover more comfortably. Though, it is recommended that patients take things easy, most patients feel well enough to go out for dinner and maybe even a walk, the day of the procedure.

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    Prostate Cancer Patients Are Paying Hefty Price For Controversial New Treatment

    Men hoping to avoid some side effects of prostate cancer treatment are shelling out tens of thousands of dollars for a procedure whose long-term effects are unknown and insurers, including Medicare, wont pay for.

    Proponents say high-intensity focused ultrasound can have fewer negative side effects than surgery or radiation, while giving some patients another option between actively watching their cancer and those more aggressive steps. Critics, however, say the procedure is being oversold, leading some patients to get a treatment they dont need.

    Device makers are busy selling the $500,000-and-up machines to doctors around the country and offering training courses. Billboards advertising this new non-invasive treatment for prostate cancer are springing up, while treatment center websites promise a safer method with benefits such as no erectile dysfunction and no incontinence, although studies show those side effects can occur, but less often than with other types of more aggressive treatments. The treatment can range in cost from $15,000 to $25,000.

    HIFU is the latest treatment to prompt concerns over whether there should be limits such as requiring tracking of results placed on expensive new technology while additional data is gathered.

    In the U.S., advisory committees to the Food and Drug Administration twice turned down applications from manufacturers to market HIFU devices as a treatment for prostate cancer, citing not enough long-term evidence.

    Hifu Method For Prostate Cancer Treatment

    What to Expect during a HIFU for Prostate Cancer Treatment

    Every year globally more than 1 million cases of prostate cancer are reported and approximately 300,000 lose their lives battling the disease. Prostate cancer is ranked the second prevalent cancer worldwide. For treating this cancer, there are many strategies that vary in effectiveness and the stage at which your cancer is diagnosed. You must have heard about HIFU for prostate cancer and You must be wondering whats the hype about this therapy? HIFU is an FDA-approved procedure for prostate cancer and is a novel treatment method that has shown promising treatment outcomes in clinical trials. Keep on reading to know more about HIFU and some more interesting facts.

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    What Does Hifu Involve

    Each hospital will do things slightly differently. Weve included some general information about what might happen before, during and after HIFU. Your doctor or nurse will give you more information about your treatment.

    Before your treatment

    If you have a large prostate, you might be offered other treatments before you have HIFU.

    • Hormone therapy is sometimes given for two to three months before HIFU. This can make the prostate smaller, and make the cancer easier to treat.
    • Transurethral resection of the prostate is an operation to remove prostate tissue and improve the flow of urine. This operation is sometimes used before HIFU to reduce the risk of some urinary problems after the treatment.

    As with all treatments, these can cause side effects.

    If youre having focal HIFU, you will usually go to a screening appointment first. Youll have a magnetic resonance imaging scan, which produces detailed images of the prostate and shows the location of the cancer. You may also have a prostate biopsy, which shows the location of the cancer and how likely the cancer is to grow and spread outside the prostate. These tests will help your surgeon target the area of the prostate that needs to be treated.

    During your treatment

    You will usually have a general anaesthetic so that youre asleep during the treatment.

    Your surgeon will plan your treatment so the HIFU machine moves the beam around, heating and destroying the cancer cells in the area being treated.

    Focal HIFU

    Whole prostate HIFU

    What Are The Benefits Of Hifu For Prostate Cancer Treatment

    • Outpatient, same-day procedure – no hospital is stay required.
    • Non-Invasive no surgery or blood loss.
    • Much shorter recovery compared to radical surgery.
    • The treatment takes a few hours as compared to weeks for most radiation treatments.
    • Most normal activities can be resumed in a few days.
    • There is minimal to no pain.
    • Limited side effectsHIFU has the lowest rate of urinary incontinence.HIFU has the lowest rate of erectile dysfunction.

    Who is Eligible for HIFU Treatment for prostate cancer?

    • Individuals with early stage localized prostate cancer that has not spread or metastasized outside the prostate.
    • Those with recurrent prostate cancer after radiation therapy of any type, or if other treatment options pose a high risk of complications.
    • Individuals who want to avoid the side effects and potential complications of radical surgery or radiation.

    Individual Assessments are Performed

    As with any healthcare question, the answer depends on a number of individual factors.

    First, the 90 percent of men diagnosed with localized prostate cancer must meet the initial criteria for undergoing HIFU and that diagnosis qualifies them for other treatments, such as radical prostatectomy, radiation therapy, cryotherapy, or active surveillance .

    Beyond the raw Gleason numbers however, the tumor volume must be assessed to determine whether it is low or high. Patients with high-volume Gleason grade 6 or low-volume Gleason grade 7 are considered ideal candidates for HIFU.

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