Hi,
Thank you all for the information you provide.
I ws diagnosed with Gleason = 6(3+3), PSA = 3.8, VOLUME = 200 CC, hence I am qualified to the HIFU. I am 60 years old and in excellent physical shape + reasonable sex (not like 18, but there are advantage to teh experience)
I made lots of reseacrch and tried to find solid information, and it is so difficlt to.
My main goals are quality of life an dlife expectancy.
The main conclusions I have are:
HIFU is the treatment I woudl select.
SB500 seems to have better results than ablatherm although ablatherm gained much more experience.
There is a learning curve, and one should go to those that practiced at least 75-100 procedures. Hence, if you want to participate in a trail (which I would have had I been a US citizen), make sure you are treated by an experienced Dr.
I exchanged emails with several Dr. doing the HIFU, I must say that they were VERY collaborative despite the fact that I asked lots of questions.
Living in Israel, there is a local Dr. who made 20 procedures, to the best of my understanding with very good resuts, I spoke with the latest one who wa svery happy. Yet, I tend to do it oversea, just becasue of teh experience.
Initilly i tended to do it in Mexico, the professor was great, very helful and has lots of experience with very good statistics. However given the distance and 36 hours light back home and the need for occational treatment (follow up is not a problem), i am trying to narrow the radius.
I met with another one, in Canada, who made a large number of procedures and spent 45 minutes with me. I am confident that I can trust him too, again the only draw back is the distance and possible additional treatments that probably no Dr. would like to take in Israel since i was not treated by him.
Questions:
Based on the above, woudl you encourage the HIFU + SB500?
Is there really a need for complementary treatment (removing cathether, flushing the area treated can be done anywhere). So, is distance a probelm?
What are your PSA nadir and Biophsy taken after x period? I knwo that you are not statistics, but it is good to hear.
What are the drwawbacks of this procedure compared with Radical Prostatecomy (RP)? RP was recommended by my local Dr. and I can have it done by the top Dr. in Isarel. They do not like the HIFU since there is not enough data and mainy not enough long term data.
Any other advise is welcome
Thanks, MoniStar