HIFU Treatment - Non surgical treatment for prostate cancer
High Intensity Focused Ultrasound is a non surgical treatment that uses
ultrasound waves to heat and destroy the prostate gland.
Whilst destroying the prostate gland, this
successful therapy helps to preserve the vital structures
around the gland, which are involved in normal bladder emptying
thus preserving continence and erectile function.
Some facts about HIFU:
- HIFU does not involve a surgical incision.
- It is minimally invasive.
- It can be repeated if the first HIFU fails.
- Is offered as a day case treatment.
the HIFU Presentation
About the Procedure
HIFU is performed under general anaesthetic. The ultrasound probe is placed in
the rectum and the prostate is visualised on screen. The probe is then used
to repeatedly focus high intensity sound waves on the prostate, until the whole
gland is removed. The procedure lasts 3-4 hours.
Prior to admission
You will receive an appointment to attend the pre-admission clinic. You will
be given a full explanation of HIFU, how to prepare your bowel for the procedure
and advice about after care. All your paperwork will be completed along with
blood tests and an ECG.
Please report the main reception, where you will be directed to your room.
Bowel preparation begins the evening before your surgery. You will be
given 2 Sennokot tablets at the preadmission clinic, which you need
to take at bed time. You will also be given an enema, after your admission
to the ward.
After your procedure you will be taken into the recovery room. Measures
in place to aid your recovery include:
- Oxygen therapy.
- Intravenous fluids.
- Urethral catheter.
- General monitoring i.e. blood pressure
As your recovery allows you will be taken back
to your room and you will be to drink and eat as you feel
able. You will be visited after your procedure by Mr Lewi
and your Consultant Anaesthetist.
When you are fully recovered you will be discharged
home. An appointment will be given to you to attend the Outpatients
Department for removal of your catheter, usually 7 days after
You will be given a course of antibiotics to
take home with you and a sick certificate can be arranged
if needed. We advise that you do not drive for 48 hours
after your treatment and advise you to avoid any strenuous
activities. You will receive an appointment to see Mr Lewi
3 months after your treatment for a PSA check.
What to expect after your
catheter is removed
This information has been designed to try and answer as many of your
questions as possible. You may experience symptoms or problems not mentioned
here and we encourage you to contact us, should this be the case.
If you have any queries or concerns you would
like to discuss, please do not hesitate to contact Specialist
Urology Sister on 07905 428836 or the Ward
on 01245 234080.
What is a catheter?
A catheter is a thin, hollow tube, which is passed through the urethra
(water pipe) into the bladder to drain urine. The catheter is kept
in place by a small balloon at its tip filled with sterile water. A
catheter valve will be put on the end, so there is no need for catheter
bags. You will be shown a catheter and valve at the pre-admission clinic.
When will the catheter
The catheter is usually removed 7 days after HIFU treatment, in the outpatients
Will I pass urine normally
once the catheter is removed?
This will depend on how much swelling there is inside when the catheter is removed.
You may pass urine with no difficulty and as well as before the HIFU. You may
however experience some or all of the following symptoms:
- Urgency (the sensation to pass urine
- Frequency, this can range from every
15 minutes to every hour.
- Hesitancy (when you get to the toilet
it takes a few minutes for your flow to start.)
- Poor urinary flow.
- A stinging feeling, especially at the
end of your flow.
- Passing debris in your urine, this
is dead prostate tissue.
- Nocturia (getting up at night to pass
All these symptoms are of a temporary nature
but they could last for up to 12 weeks.
What if I do not empty
my bladder properly?
You will be encouraged to self catheterise. You will have been given a DVD and
booklet explaining this in more detail at the pre-admission clinic. This has
lower risk of infection and gives you more control over your bladder function.
It allows you to pass urine on your own and will allow you to assess when you
no longer need to catheterise.
What can expect when I
You may experience any of the urinary symptoms already listed on this page, however
are concerned please do not hesitate to contact Sarah Buttle
on 07905 428836 or the ward on 01245 234080.
If necessary they will contact Mr
Lewi on your behalf.
You can resume normal activities as you feel
You will have telephone follow-ups with Sarah
Buttle, to monitor your progress, at a mutually agreed date/time
and you will receive an appointment to see Mr Lewi in the
outpatients department, when your PSA will be checked.
If you have any queries or concerns after your procedure, please do not
hesitate to contact:
Tel: 07905 428836 between 8am - 8pm
Tel: 01245 234080
If necessary they will contact the Consultant
Urologist on your behalf.
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