HIFU Update

[TFBUNDY]

Hi. G 3+4 10mm apical tumor treated with HIFU two and half years ago from peak PSA about 8. PSA results every 3 months bounce within the range from 1 to 2. Today's is 1.4. I'm happy to have had HIFU and can recommend giving it a go vs RP. I am not on ADT or any other prescription med. Before you ask it was done free of charge on the NHS. Cheers all...

[Londear1992]

Dear TFBundy, Sounds like you have done well with HIFU. Was it semi-ablation? I am curious about your nadir? My husband is at 1.52 after a nadir of .19. His Uro says he should have an MRI and biopsy but he is a Uro who does not believe in HIFU. (We are in a rural place where none of the doctors know about HIFU.) The doctor who did the HIFU says wait until it hits 1.6 before any MRI’s or follow up biopsies. I have read HIFU is not considered a biochemical failure until it reaches 2.0 above nadir. Is your Uro good with your results? Thanks!

[TFBUNDY in reply to Londear1992]

My PSA bounces around with highest of 2.4 lowest of 1.0 it was focal ablation which treated about 40% of the prostate. I think the higher ones are due to some minor BPH and as long as it drops back I'm happy. I get 3 monthly PSA checks, but a bit sooner after a higher reading so I can breathe again. I pretty much drive the testing. Always get a C-reactive protein test and try to keep it as low as possible around 1. If you have a high PSA take ibuprofen fur a couple of weeks to reduce inflammation and test again. I get annual mpMRI and anything suspicious gets biopsied.

[Londear1992 in reply to TFBUNDY]

Thanks. Sounds like a good approach.