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Hifu focal ablation

User
Posted 03 Nov 2026 at 10:10

Hi all.

Was diagnosed yesterday. Gleason score of 3+3, T2aNOMO, psa of 4.2.

Weighing up my treatment options and thinking of going for the Hifu. My first thoughts, before I was actually diagnosed, was if I have it...I want my prostate out. But not sure if that's a bit drastic at this stage.

I know alot of folks will have a period of active monitoring, but due to my family history, I don't want this.

Brother was diagnosed stage 4, 9 years ago. Father was diagnosed same year with the same Gleason score as me and out on active monitoring (with no treatment at all since diagnosis). His has spread now to his bowel and liver.

Any had hifu focal ablation? How were the side effects, if any? How long ago did you have it and any reoccurrence of the cancer since?

Thanks for reading

Gerry

User
Posted 03 Nov 2026 at 15:55

Gerry,

Firstly, do you know that you are a suitable candidate for HIFU which means your cancer is in a position the Probe can reach or have any contraindications? A Focal Therapy Consultant needs to verify this. Also, there was a man here very recently whose local authority did not offer HIFU and declined to pay for it, so unless they change their thinking, he will have to pay for it privately.

Be aware that tumours can be multifocal and that the aim of HIFU is to treat only ones that are considered significant. Also note that in a sizeable number of cases a second HIFU is required, as in my case.

Men generally find HIFU a quick and easy operation and go home shortly after 'coming round' but with catheter for 7 days or so.

Side effects are mild and I had none but previous RT meant I already had ED, although HIFU has a good record on this anyway. It is posible to repeat HIFU or have RT or Prostatectomy after if required, athough prior HIFU makes subsequent RT or Prostatectomy more difficult

I had my first HIFU as salvage treatment for RT in 2015 and the second time in 2021 and am currently 'In remission'.

Men who want HIFU but are unsuitable sometime can have Cryotherapy of Nanoknife (Irreversable Electroporation) instead.

Edited by member 03 Nov 2026 at 15:57  | Reason: Not specified

Barry
User
Posted 03 Nov 2026 at 23:18

Hi Barry.

The doctor I spoke with who gave me my results, said that is one of my options and I would qualify for it. She was happy to refer me to the centre in Southampton, if I decide to go that route.

Just not really sure what's best for me atm tbh. Has only been a day since I found out, so need to do alot of research I guess and not rush into it, as probably hasn't fully registered yet.

I know alot of people just have active monitoring, but with what's happened with my brother and father..I'm not r e ally comfortable with that.

User
Posted 03 Nov 2026 at 23:36

Hi, Gerry.

My dad died from prostate cancer, my younger brother had it. Despite my strong family history of the disease, when I was diagnosed with it, I opted for active surveillance. Unfortunately I had disease progression and ended up having surgery.

Despite my AS failure, with a diagnosis like yours, I would still recommend giving it a go.

Here's an excellent video of treatment options and their possible side effects.

https://youtu.be/zYTU94-8pTc?si=xW83bOb0AVFQFD2l 

I hope this helps you decide which way to go. Don't rush, though. You've got plenty of time to make one of the biggest decisions you may ever have to make.

Good luck, mate. 👍

User
Posted 03 Nov 2026 at 23:51

Hi Adrian.

Sorry to hear about your father. Hope yourself and your brother are doing OK now.

Thanks for the video. Will have a look and hopefully it'll go some way to helping me decide. 

Gerry

 
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