ANTERIOR PERIRECTAL FAT TISSUE DIMINISHES THE FOCUSING ENERGY BY TRANSRECTAL HIGH-INTENSITY FOCUSED ULTRASOUND (HIFU) AND STRONGLY INFLUENCES THE OUTCOME OF PROSTATE CANCER PATIENTS AFTER HIFU TREATMENT

2008 ◽  
Vol 179 (4S) ◽  
pp. 45-46
Author(s):  
Makoto Sumitomo ◽  
Musashi Tobe ◽  
Keiichi Ito ◽  
Akio Horiguchi ◽  
Tomohiko Asano ◽  
...  
2008 ◽  
Vol 75 (4) ◽  
pp. 199-206
Author(s):  
G. Vespasiani ◽  
A.D. Asimakopoulos ◽  
E. Finazzi Agrò ◽  
G. Virgili

Background. The potential applications of the high-intensity focused ultrasound (HIFU) as a minimally invasive therapy of the localized prostate cancer explain the growing interest of the urologic community towards this technique. HIFU has been assessed for its role in the treatment of localized prostate cancer in patients who otherwise would not have benefited from surgery, and in local recurrences after radiation failure. Methods. Relevant information on HIFU treatment was identified through a literature search of published studies. Results. High biochemical efficacy, excellent tumor local control and favorable mid- and long-term oncological data with a low morbidity rate have been shown in many series of patients. Conclusions. Although HIFU is a recent and emerging technology, it has been well studied and developed to a point that HIFU will undoubtedly be an effective alternative to radiation therapy.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Leon Telis ◽  
Seyed Behzad Jazayeri ◽  
David B. Samadi

Background. Prostate cancer is the most common cancer diagnosed in men. As new focal therapies become more popular in treatment of prostate cancer, failure cases requiring salvage therapy with either surgical or other techniques are being reported. Objective. To report the options in treatment of prostate cancer after recurrence or failure of the primary treatment modality. Methods. We report a salvage robotic assisted laparoscopic radical prostatectomy (RALP) for prostate cancer recurrence following high intensity focused ultrasound treatment (HIFU) in the United States. Results. A 67-year-old man who underwent HIFU treatment for prostate adenocarcinoma 2 years prior was presented with a rising prostate specific antigen of 6.1 ng/mL to our clinic. A biopsy proven recurrent disease in the area of previous treatment documented the failure of treatment. The patient elected to undergo a salvage RALP. The operation time was 159 minutes. The patient was discharged from the hospital on postoperative day 1 with no complications. The catheter was removed on post-op day 10. The patient reserved sexual function and urinary continence. The PSA levels on 6 months’ follow-up are undetectable. Conclusions. Salvage RALP is an effective and safe treatment choice for recurrent prostate adenocarcinoma following failed HIFU treatment if operated by an experienced surgeon.


Urology ◽  
2020 ◽  
Author(s):  
Renato Vasconcelos Souza de Almeida ◽  
José Ricardo Cruz Silvino ◽  
Jamile Rosario Kalil ◽  
Vitor Lazarini dos Santos ◽  
Vinicius Meneguette Gomes de Souza ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Valeria Fiaschetti ◽  
Guglielmo Manenti ◽  
Isabelle Di Poce ◽  
Maria Fornari ◽  
Aurora Ricci ◽  
...  

Colovesical fistula (CVF) is an abnormal connection between the enteric and the urinary systems. The rectourethral fistula (RUF) is a possible but extremely rare complication of treatment of prostate cancer with “transrectal High-Intensity Focused Ultrasound (HIFU) treatment.” We present a case of CVF due to HIFU treatment of recurrent prostate cancer. The case was assessed with cystography completed with a pelvic CT scan—with MPR, MIP, and VR reconstruction—before emptying the bladder. Since the CT scan confirmed that the fistula involved solely the urethra and excluded even a minimal involvement of the bladder, it was possible to employ a conservative treatment by positioning a Foley catheter of monthly duration, in order to allow the urethra to rest. Still today, after 6 months, the patient is in a good clinical condition and has not shown yet signs of a recurrence of the fistula.


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