For the last three days I have wrapped my mind around every bit of information I could find on HIFU for prostate cancer. Most of the websites seem to be or state funding from the companies who make the two different machines, and the Dr's that use them. Keeping that in mind I decided to look for the Dr's who have the most experience with how many men they treated using HIFU. More experience = less room for error. I also came up with a list of questions to interrogate the Dr's. So here's what I just bounced off a Dr. PLEASE do not quote me on my interpretation of the discussion. I am three days into this so for those who are quite more researched please be kind. These are my thoughts processed in my mind from my 15 conversation written in my words. Ablertherm was the first machine used. It's better for larger prostrates because the ultrasound "wave" hits a bigger area. A smaller prostrate would be more difficult because it would hit outside the prostrate gland. Size matters with ablertherm. Turp is sometimes done on men with bigger prostrates before ablertherm to shrink the prostrate because Ablertherm has size restrictions or rather specifications. Turp is done sometimes after either machine to shrink the swelling of the "shell" of the prostrate making it easier to urinate and pass the dead cells and tissues. The ultrasound "wave" heats and destroys the whole prostrate gland and the tissues and cells all work there way out and pass with urine. Slothing being the side effect. A hollow shell of the gland is left. Interesting. Sonoblate has been used on 10,000. men in the world since it came out. The technology upgrades to the 500 software do not have a steep learning curve. This Dr did 1500. procedures himself. He said he has used the Ablertherm machine as well and an afterthought was how many times in the 1500 . did he use Ablertherm or were those men a separate number. He was trained at University of Indiana and went to Europe for additional training. Makes me think Urology in Indiana and HIFU certified in Europe possibly started using Ablertherm. It seems like Ablertherm is used more in Europe. Would the companies themselves keep up on Dr's for how many men they used their machines on? I heard someone mention somewhere A top 5 in HIFU urologists. Where can you correctly find out who the top 5 are? Top referred to as the most men personally treated. Is the 2% risk of nerve damage a statistic from both machines or the Sonoblate itself? Is the 2 % statistic from the updated software on the sonoblate machine (500)? Who are the Dr's who have had the most experience on men that use one machine and the other? Finally the “hollow” shell of the gland. If the dead cells expel though the shell what happens inside. Can it fill with fluids and or toxins overtime? Its always difficult to talk with a Dr when you have little time to pull together all of your questions and thoughts. Even when they are patient and informative there will always be the afterthought of why didn't I ask that. Any kind feedback with different thoughts or resources to get statistics on the most experienced Dr’s would be great. I am meeting the Dr I spoke with today next week in person so I will have a whole new Mind warp Trivia…