Prostate cancer treatment options

SUMMARY

Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Focal therapy has been approved in the UK since 2012, with HIFU and cryotherapy gaining NICE approval that year. NanoKnife, the newest focal therapy option, was approved more recently in 2023.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy is NICE-approved for prostate cancer, utilizing HIFU, cryotherapy, and NanoKnife. Studies indicate a low risk of serious side effects, making it a safe and effective treatment option for suitable patients.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Focal therapy is widely available in the UK, offered both privately and within the NHS. Leading centers include University College London, Imperial College London, and other expanding locations such as Southampton, providing patients with more treatment options.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): Focal therapy can be delivered through three main energy sourcesHIFU, cryotherapy, and NanoKnife. HIFU is the least invasive, making it ideal for posterior tumors, while needle-based therapies like cryotherapy and NanoKnife are better suited for anterior tumors. Understanding these options helps patients make informed treatment choices.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): MRI fusion improves focal therapy accuracy, ensuring over 90% of men are cancer-free at one year. Globally, 7580% of men avoid radical treatment for 610 years post-focal therapy, making it an effective and minimally invasive option for prostate cancer.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): Focal therapy does not typically use radiation, though some trials have explored brachytherapy or targeted radiotherapy, particularly for retreatment after prior radiation. Advances in focal therapy continue to provide effective, minimally invasive alternatives for prostate cancer treatment.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy (HIFU, NanoKnife, Cryotherapy) has been rigorously tested, progressing from lab studies to animal trials, human observational data, and patient registries. Randomized trials are now underway, further validating its safety and effectiveness as a prostate cancer treatment.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): If you've been told you need a prostatectomy, focal therapy may be an alternativeespecially for Gleason scores below 8, where targeted treatment is effective in over 50% of cases. This minimally invasive approach preserves quality of life while effectively treating prostate cancer.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Age alone doesnt determine if focal therapy is appropriateit depends on cancer aggressiveness, overall health, and life expectancy rather than just a number. Personalized treatment decisions ensure the best outcomes for each patient.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): Success in prostate cancer treatment isnt just about survivalit includes preserving urinary and sexual function. After 78 years, focal therapy, surgery, and radiotherapy show equivalent cancer control, but focal therapy has far fewer side effects, making it a compelling option for many men.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): MRI-ultrasound fusion technology ensures precise focal therapy, accurately targeting cancer and surrounding margins to maximize treatment success. This advanced imaging technique improves accuracy, reducing the risk of overtreatment and preserving quality of life.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): If you're unsure about radical prostatectomy, you can pause and reconsider. Seeking more information or a second opinion on focal therapy can help ensure the best decision for your health and quality of life. Understanding all treatment options is crucial in making an informed choice.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy is highly effectivefor every five men treated, four will not require further major treatment. Only one in five may eventually need surgery or radiotherapy, making focal therapy a minimally invasive and long-term option for prostate cancer management.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): Active surveillance is for low-risk prostate cancer, but if monitoring causes anxiety, focal therapy may be an option for targeted treatment while avoiding unnecessary interventions. This approach balances effective cancer control with quality of life.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): The type of focal therapy depends on tumor location. HIFU is used for tumors at the back of the prostate, while NanoKnife or cryotherapy are preferred for tumors at the front. Outcomes and side effects are similar across techniques, and the choice depends on patient suitability and tumor characteristics.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Focal therapy avoids radiation and hormone therapy, preserving future treatment options. If cancer recurs, retreatment with focal therapy or radical options like surgery and radiation remain viable, giving patients flexibility in their treatment pathway.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): We closely monitor all focal therapy patients with regular PSA tests and MRI scans to track treatment success. If recurrence occurs (510%), further focal therapy or traditional treatments like surgery or radiotherapy remain viable options, ensuring flexible and effective cancer management.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Tim Dudderidge (Consultant Urologist, The Focal Therapy Clinic): Post-surgery pad use is usually due to sphincter damage, leading to long-term incontinence risks. In contrast, focal therapy may cause only temporary urgency-related leakage, with most patients regaining full bladder control quickly. Website: https://www.thefocaltherapyclinic.co.uk LinkedIn: linkedin.com/company/the-focal-therapy-clinic/ Facebook: facebook.com/TheFocalTC Telephone: +44 (0) 207 036 8870 #FocalTherapy #ProstateHealth #MinimallyInvasive #MensHealth #ProstateCancerTreatment #Urology

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Raj Nigam (Consultant Urologist) & Dr. Christos Mikropoulos (Consultant Oncologist) The Focal Therapy Clinic: Focal therapy is as effective as radical prostatectomy at 8 years, with lower incontinence rates (less than 2%) and most men remaining disease-free while avoiding radical treatment. This minimally invasive approach offers excellent cancer control while preserving quality of life.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy can temporarily affect urinary flow and erections, but side effects are usually mild and short-lived. Bladder control remains intact, and orgasmic sensation is preserved, making it a well-tolerated and minimally invasive treatment option for prostate cancer.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Most men regain normal erections within a few months after focal therapy. Medications can help boost recovery, and by one year, function is usually restored, with rare cases needing further treatment. Focal therapy offers a minimally invasive approach while preserving quality of life.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Focal therapy treats only the cancerous part of the prostate, preserving healthy tissue. Similar to a lumpectomy for breast cancer, it helps maintain sexual function and bladder control while effectively targeting prostate cancer.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

SUMMARY

Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy treats only the cancerous part of the prostate, preserving healthy tissue. Like a lumpectomy for breast cancer, it helps maintain sexual function and bladder control, offering an effective, minimally invasive alternative to radical treatments.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.