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Frequently Asked Questions

Will a private consultation withdraw me from the NHS pathway?

No. A consultation with The Focal Therapy Clinic will not affect your access to NHS services. Every patient has the right to seek a second opinion about their treatment options.


I have private medical insurance. Am I covered for this treatment?

HIFU Focal Therapy is covered by all the major healthcare insurers in the UK.

The relevant CCSD Code for the HIFU Focal Therapy treatment option is:



I don’t have private medical insurance. How much does HIFU Focal Therapy treatment cost?

Initial consultation involving a review of your medical files and a second opinion on your diagnosis and treatment options:

  • Fee £250, including VAT.

HIFU procedure including treatment, medicine, and after-care:

  • Fee £13,000, including VAT.

Do you have a payment plan?

Yes. Financing is available on request.


What is Focal Therapy?

Focal Therapy is a general term for non-invasive techniques such as High-Intensity Focused Ultrasound (HIFU). It is used for destroying small tumours inside the prostate while leaving the remaining gland intact. 

Read more about the Focal Therapy treatment option here.

How does HIFU Focal Therapy treat prostate cancer?

High Intensity Focused Ultrasound (HIFU) is the predominant treatment for prostate cancer within Focal Therapy.

HIFU uses a pair of high-energy ultrasound beams that heat targeted areas of the prostate, destroying cancer cells. 

HIFU is unique in that it is done under precise image guidance, making it highly targeted. This means it avoids damaging areas that control urinary and erectile functions.

Read more about HIFU here.

How long is the HIFU Focal Therapy procedure?

HIFU is performed under general anaesthetic in a single treatment session. Usually lasting between 90 and 140 minutes, it is a largely well-tolerated procedure that allows men to leave the hospital within 90 minutes of completion. 


What is the recovery time for HIFU Focal Therapy treatment?

Most men are able to return home within a couple of hours of having Focal Therapy treatment.

You will be advised not to drive for 24 hours due to having a general anaesthetic.

Many men choose to go back to their normal working life within 48 hours. 


Will HIFU Focal Therapy ‘cure’ my prostate cancer?

HIFU Focal Therapy has been through multiple clinical trials in the UK, Europe and the USA.

These studies have shown that HIFU has similar oncological outcomes over 8 years to traditional prostate cancer treatments like Prostatectomy or Hormone / Radiotherapy, but with vastly reduced side effects.

In the ‘Multicentre Study of 5-year outcomes following Focal Therapy treatment’: 

  • 74% of men were cured and needed no more treatment
  • 19% needed an additional HIFU treatment within 5 years
  • 7% needed to progress to either a Radical Prostatectomy or Radiotherapy within 5 years

Review the statistics here.

What are the associated side-effects of HIFU Focal Therapy?

The risks and benefits of any procedure are different for everyone, your doctor will explain the risks that may affect you. 

There is a small risk of side-effects and complications following HIFU Focal Therapy the most common of which are temporary urinary symptoms and the risk of contracting a urinary tract infection. 

The objective of Focal Therapy is to treat only the areas of the prostate gland that contains cancer and leave the healthy tissue intact. This non-invasive approach avoids damaging the erectile nerves or the urethra thus minimising the risk of urinary incontinence or erectile function. 

Recent clinical studies have shown that following HIFU Focal Therapy treatment: 

  • 98% had no issue with urinary continence 
  • 75% of men had no issue with erectile function* 

*for men with erectile function pre-treatment

Click here to review the statistics on sexual function and incontinence in detail.

Why was Focal Therapy not mentioned to me before?

Focal Therapy has been offered on a limited basis in select academic hospitals since 2004. However, the number of patients treated in the UK is low.

The mission of The Focal Therapy Clinic is to make this option as broadly available as possible and to ensure that men have a good understanding of all their treatment options before they make a decision.


If I opt for HIFU Focal Therapy treatment, what aftercare will you provide me with?

On the day of your treatment a urinary catheter will be placed in the bladder. You will be shown how to look after your catheter. After a week the catheter will be removed at our clinic or at your local GP practice.

3 months post-procedure you will have a PSA test and a discussion with your consultant.

Between 9 and 12 months you will have an MRI scan to confirm that your prostate cancer has been eliminated and that you are now free of clinically significant prostate cancer.

At this stage you will be referred back to your GP as a patient who has been cured of prostate cancer but will follow your PSA on an annual basis going forward.


If my prostate cancer reoccurs do I still have the option of surgery (Radical Prostatectomy)?

One of the major benefits of Focal Therapy is that it does not preclude the subsequent treatment options of further Focal Therapy, surgery or radiotherapy.

Around 74% of men will not need any further treatment for their prostate cancer after Focal Therapy. The majority of men who do need further treatment will be treated again by Focal Therapy. Approximately 7% of men will require radical treatment in the future.


How quickly can I get this treatment?

The first step is to evaluate your suitability for Focal Therapy. This will be based on your MRI scan and biopsy results.

Provided that your diagnostic results are of sufficient quality your consultant will be able to give you a definitive answer regarding your treatment options and suitability for Focal Therapy.

Once you are comfortable that Focal Therapy is the right option for you, treatment can be arranged in a matter of weeks.

Get In Touch

As a group of consultants we are passionate about prostate cancer sufferers knowing about all of their treatment options.

We know that settling on the right treatment is a big decision for you. If you would like to speak to one of our friendly and knowledgeable patient advocates about your diagnosis and the HIFU Focal Therapy treatment option then please do not hesitate to get in touch today.

All enquiries to The Focal Therapy Clinic are confidential, and we are delighted to offer our advice and support with no obligation.