HIFU USA works with several urologists in private practices and large academic universities to ensure you receive a high standard of care. You are our number one priority and our goal is to make sure you are taken care of from the beginning of the process to the very end. Throughout treatment, you will have the same welcoming and experienced team caring for you. After your procedure, our physicians and nurses will be available to answer any questions or concerns you may have.
After the procedure, you will have a catheter for a few days to assist with urination. Once it is removed, you may experience frequent urination among other symptoms. Again, do not hesitate to call our nurses to ask questions.
After you have HIFU, it is important that you do not go through any more surgeries such as the TURP before speaking with us. The proper order is to get a TURP or laser before receiving HIFU treatments. It is better to treat any urinary issues by leaving a catheter in place for a longer period of time to let the healing process run its course. Rushing into another surgery too soon can cause more incontinence.
Within the first few weeks and months following the procedure, patients may experience a few minor problems that must be addressed by an experienced medical professional. With this considered, HIFU offers two forms of follow up depending on what the patient prefers. The options are either short term/more intense follow up or long term/less intense follow up. Among the problems that may be experienced during recovery are urinary frequency, burning while urinating, small stream, possible urinary tract infection, blood tinged urine, and similar issues. Many of these are short term side effects and stop after a few days or weeks.
Patients with substantial urinary frequency and/or urgency may be given medications that relax the bladder and prevent incontinence; these medications include Oxybuytnin and and Vesicare. These are anti cholinergic and there are several other medications in this category that can be prescribed. Patients can stop taking them after a few days or up to a few weeks.
The other possible discomfort is the temporary inflammation of the of the nerves in the tissue surrounding the prostate and urethral mucosa. Common pain relievers may be used such as Tylenol, Ibuprofen, etc. Sometimes Pyridium (an antiseptic) and AZO can be used to reduce the burning sensation. Like the aforementioned medications, these pain medicines can also be limited to a few weeks.
The third wave of problems may be difficulty urinating, slow stream, and the feeling of incomplete emptying of the bladder. If one has a small prostate, the catheter that is inserted during the procedure may only have to stay in place for 5 days. If one’s prostate is a little larger, there may be more swelling and a catheter may be required for 2-3 weeks. The doctor will be able to determine the length of time depending on each patient’s needs.
If one does not wish to have a catheter inserted into the penis, they have the option to have a suprapubic tube inserted, which is a catheter placed through the bladder wall from the abdomen. It is recommended that one has the catheter for a few days because it will reduce the swelling, as opposed to when one does not have a catheter, the swelling can cause long term problems. Some men simply prefer the Suprapubic tube because they do not wish to have the discomfort of a catheter. The doctor will discuss the Suprapubic catheter versus the catheter in the penis to determine which is best for solving the short term issue of urinary difficulty.
As a complement to the catheter in reducing swelling, doctors may prescribe medications such as Flomax or a similar agent. These relax the prostate and lets the individual completely empty their bladder with a stronger stream while healing is underway. Patients with larger prostates may need to continue taking this for a longer time.
For patients with larger prostates, a physician may require them to have hormone injections to shrink the prostate before receiving HIFU in order to have a more efficient treatment. The doctor may suggest laser of the prostate to reduce the size of the prostate, and to reduce the negative urinary side effects patients commonly experience. However, this laser treatment before HIFU is only recommended for those with larger prostates and difficulty voiding.
If Erectile Dysfunction (ED) is experienced post HIFU, there are many solutions. Medications such as Cialis, Viagra, Muse, penile injections, penile pumps, and penile prosthesis are just to name a few.
In some rare cases, patients have problems with incontinence. This only occurs in patients who have cancer on both sides near the top. Incontinence procedures such as an artificial urinary sphincter or bulking agents may be utilized in patients with this area of cancer.
HIFU USA is always available and will continue to provide long term follow up with patients pre, during, and post treatment. For more information, please check out our FAQ section, or call us at 1-800-654-HIFU(4438).