At Riverside Urology we recognize that disease of any kind can put a patient's life in turmoil. Our focus upon patient quality of life leads us to seek least-invasive solutions leading to best outcomes with minimal life disruption. Our patients benefit from access to the best care, the deepest knowledge and the use of our Ambulatory Surgery Center as an alternative to hospital stays. We help you get your life back to normal as quickly as possible.
Thursday, March 29, 2018
Magnetic Resonance Imaging makes the Diagnosis of Prostate Cancer Precise and aids in early Diagnosis and Cure of Prostate Cancer without Prostatectomy Prostate Cancer is the most frequent Cancer in men, 27,000 deaths occurred from this disease in 2017 and well over 160,000 cases were diagnosed. 1 in 6 men over 40 yrs. old will have prostate Cancer in 2018. When you are sitting at a large gathering of men think about that. If you are a man and over 40 it might be you! With PSA (Prostatic Specific Antigen) the prostate blood test, there is the opportunity through screening to find Prostate Cancer early. The early diagnosis is extremely important in that we can then treat this disease with ablation (destroy the cancer in the prostate with therapies such as HIFU or Cryoablation therapy). This means we don’t have to remove the prostate (Radical Prostatectomy) with its side effects including impotence (ED) and urinary incontinence. The MRI (Magnetic Resonance Imaging) makes it possible to accurately locate the site of cancer in the organ. This gives us the opportunity to do a targeted biopsy, prove the presence of disease then destroy the cancer and leave the rest of the prostate alone! The benefit is that there are fewer biopsy samples taken, less disturbance to the prostate and very accurate location of the cancer. The images are produced by a special MRI that has a powerful magnet referred to as a 3 Tesla Magnet. With it the urologist actually looks inside the prostate and sees the cancer, like we have all seen a bad spot in an apple. The difference is that we have to cut the apple however with this special MRI we can look inside the prostate with images and don’t even touch the prostate. The 3 Tesla MRI is also known as a Multi Parametric MRI. This means it can produce many different pictures of the problem and with a computer reconstruct the prostate image so we know exactly where the Cancer is. The great advantage of this is we know much more because of this technology and with this knowledge the treatment can be planned with precision! We then eliminate the problem with HIFU (High Intensity Focused Ultrasound). This treatment does not disturb most of the normal functions of the prostate. These are important functions as they relate to the patient staying dry and not having urine loss which can happen when the prostate is removed. Sexual function can also be protected while this potentially lethal disease is cured. To learn more about this method of treatment of prostate cancer visit our website www.Riversideurology.com.
Monday, March 26, 2018
Prostate Cancer is the leading cause of cancer in men and it can be cured without side effects by HIFU.
Prostate Cancer is the leading cause of cancer in men and it can be cured without side effects by HIFU. It Kills 27,00/year and 162,000 new cases occurred in 2017. It is true that there are different grades and stage of this cancer and some men can live with it. This is usually what is referred to as a Gleason grade 3+3=6. However there is controversy about this and a Gleason 6 has been known to spread (metastasize). This clearly is an indication that it has the potential to be aggressive and do great harm to some of those who have it. Here is the problem: when men are diagnosed with a Gleason 7 or higher the treatment that follows is usually radical prostatectomy or radiation therapy if the disease is confined to the prostate. There are in current times are therapies that are relatively new (have been used in other parts of the world for 15 or more years) and have only recently been introduced into the United States, One of these is HIFU: Why is the new therapy (to the U.S.) of High Intensity Focused Ultrasound HIFU an important addition to our treatment options? We have to go back for a moment to understand. Radical Prostatectomy is frequently associated with significant side effects. What are they? Urinary incontinence ( as High as 30% to 80%) leaking urine , in some cases leaking all the time in other cases when coughing, laughing sneezing or doing any strenuous activity. The other major problem is the robbing men of their sexual function ( this is known as erectile dysfunction or ED) is about 50% to in some peer reviewed literature reports as high as 80%. Yes these conditions can be treated but not cured and many Prostate Cancer patients have these problems for the rest of their lives. Now let’s go back to HIFU. This therapy if applied to men who are diagnosed early can AVOID ALL OF THESE PROBLEN AND PRODUCE CURE!!!.. Many of our readers will remember the United States Preventative Service Task Force. This is the unfortunate effort of the Obama administration to cut the cost of health care. This commission that had no urologist input, said the PSA (prostate specific antigen) was a bad test. These unqualified individuals with political and governmental clout imposed this upon the U.S. Male population from 2012-2017. It was based on faulty research and unfortunately sloppy scientific review. The result prostate cancer went undetected for many men during those 5 five years. Early diagnosis was set back. However the task force has had to retract this position. Now with PSA available again and MRI (which we will discuss in another blog) we can make the early diagnosis of Prostate Cancer. With these diagnostic options available, we can diagnose Prostate Cancer early and treat it with HIFU for cure!!! Not only that, the treatment is delivered in an ambulatory environment. Further the patient can have a regular dinner the very evening of surgery, he can even go to a restaurant. He can easily maintain himself at home or hotel and can even drive a car a day or two after the treatment and return to work within one week. You guessed it no URINARY INCONTINENCE and MANHOOD is preserved no ERECTILE DYSFUCTION (ED). Why haven’t you heard about this? A reasonable question. It could be that the existing forms of treatment, the manufactures such as of the Robot and the Institutions who have invested in these Multi-Million Dollar technologies don’t want you to know about HIFU. The same may be true for RADIATION institutions who have invested in expensive RADIATION VAULTS. Why you say? Because they have invested multi-millions in these technologies and they have to be used to pay the mortgage of the equipment. HIFU is a young competitor, however it is my opinion that it will become a fierce source of competition. Lastly cost; HIFU cost about 25 thousand dollars. Radical Prostatectomy 160 thousand dollars and two very expensive days in the hospital. Radiation. 20 treatments over 4-6 weeks, again very high cost well over 100K. HIFU (High Intensity Focused Ultrasound) will change the way we Americans , Men and Women will think of prostate cancer and how it can be treated so as to not affect their families. Interestingly a similar situation happened with Breast cancer in 1973. George Crile of the Cleveland Clinic stopped doing radical mastectomy (breast removal) in most cases of breast cancer and gave rise to the operation of Lumpectomy. You can say, and be correct that HIFU allows us to do a “Lumpectomy” of the prostate and in most cases Radical removal of the prostate is not necessary! As Paul Harvey would say, “NOW YOU KNOW THE REST OF THE STORY” Thanks for taking time to read this. To learn more visit our website at RiversideUrology.com