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HIFU (High-Intensity Focused Ultrasound) — Prostate

A minimally invasive prostate cancer treatment method that destroys prostate tissue by heating.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is HIFU (High-Intensity Focused Ultrasound) — Prostate?

HIFU (High Intensity Focused Ultrasound) is a technique that creates fully controlled thermal necrosis by heating prostate tissue to 80-100°C with high-intensity ultrasound waves delivered through a transrectal probe.

It is applied as a treatment alternative in selected patients with localized low-to-intermediate risk prostate cancer and recurrent cases. It can be performed as whole-gland or focal approach.

Its advantages include less morbidity compared to invasive surgery, faster recovery, and generally better preservation of erection and continence. However, long-term oncological outcomes are not as mature as radical surgery.

Symptoms

Low-to-intermediate risk localized prostate cancer
Patients unsuitable for surgery
Local recurrence after radiotherapy
Indication for focal treatment
Quality-of-life-oriented preference
Patients with high surgical risk
Treatment requirement at advanced age

Risk Factors

Large prostates (difficulty for whole-gland HIFU)
Calcifications (decrease ultrasound penetration)
Previous radiotherapy (tissue effect)
Rectum pathologies
High-risk cancer subtypes
Multifocal high-volume disease
Metastatic disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Diagnosis of localized prostate cancer
  • High risk for surgery
  • If transition from active surveillance to treatment is being considered
  • Biochemical recurrence after radiotherapy
  • Patient-based focal treatment preference

Treatment Methods

01
Patient selection with multiparametric MRI and target biopsy
02
Transrectal HIFU application
03
Whole-gland or focal protocol
04
Post-HIFU catheterization
05
Follow-up with PSA and imaging
06
Salvage surgery or radiotherapy when needed

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.