Before HIFU Therapy
Our HIFU team will help you coordinate all of your treatment details. They will also confirm medical clearance for anesthesia from your primary medical doctor. You will be given prescriptions for some medications to get filled prior to your procedure. The medications include antibiotics, Mobic (an anti-inflammatory), Flomax, Vesicare, and possibly Cialis, are to be taken as directed following the procedure.
On the morning of the procedure, patients are asked to perform a bowel prep. This is extremely important, since stool in the rectum can interfere with the treatment. An IV sedative will be administered to the patient prior to the procedure and then a general anesthetic will be administered for the actual treatment.
During HIFU Therapy
There is no pain during treatment. Either a suprapubic tube or urethral foley catheter is placed (we will discuss which one is appropriate for you prior to your treatment). The small HIFU ultrasound probe is inserted into the rectum where it emits ultrasound waves directly to the prostatic tissue. The probe obtains real-time imaging of the prostate, which is then used for treatment planning. HIFU therapy is then performed, which typically lasts about 2 hours, depending on the size of the prostate.
After HIFU Therapy
Immediately after the procedure, patients spend one to two hours recovering at the treatment facility prior to be discharged. HIFU is an outpatient procedure, so there is no need to stay in the hospital. Dr. Gapin will prescribe medications, but most patients do not experience pain following the procedure. Prescribed medications should be picked up prior to having the procedure. The foley or suprapubic catheter will remain inserted postoperatively for 5-14 days to ensure the bladder empties properly. Dr. Gapin follows up with all patients a few days after treatment in his Sarasota office. A follow-up PSA test is performed three months following HIFU therapy.