Hi all
After 5 years of active surveillance my PSA is gradually rising from 6.78 to now 16.
I have had 2 biopsies, 1 in 2020 picked up 1 area of 3+4, in 2024 only 3+3 was picked up.
I have had 3 MRI's with no change in the 5 years, 69cc Prostate gland.
I am reluctant to choose surgery and Radiation because of the possible side effects, especially Urinary.
Brachytherapy seems to be ruled out, because of the gland size 69cc (max of 60cc) and flow rate is not quite powerful enough.
I had a meeting with the doctor today and he has suggested that I consider Focal HIFU as this has less chance of side effects and is a relatively easy procedure. They are just starting this at this Hospital but it would be overseen by the top man in the country.
Has anyone had any experience with this procedure, I believe a Catheter is fitted for a week, and then it is just monitored afterwards. It also will not interfere with any follow up procedures, if there is any reoccurrence.
Regards
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007