The Third Option Urologists Aren't Telling You About

Comments · 141

• EV

  @evenendresen3172 · 3 months ago

  Father and brother died of prostate cancer 65 and 55 yrs old, respectively. Myself diagnosed in 2017, treated in Oslo with HIFU. Annual/biannual follow up, and still cancer free in 2026. Had no negative side effects urinary problems, or erectile dysfunction since procedure in 2017.

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• GR

  @Gromitdog1 · 5 months ago

  Locally here government cancer treatment is only whole gland either radical prostatectomy or low dose bracytherapy.  Non-radioactive focal ablation seems like such a better option long term.

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• MI

  @MikeO-r5y · 3 weeks ago

  I knew a 69 year-old who had localized prostate cancer that was treated by blocking the blood flow to that part of his prostate. It was strikingly straightforward and simple for him. I hope if that is my fate someday to be as fortunate.

• DO

  @doctuh56 · 5 months ago

  I am a 70 year old semi-retired internist (MD) in USA.  PSA 2.2 in 2017, 2.44 in 2019, 2.8 in 2020, 3.9 in 1/21, 4.5 in 10/21, 11/21 - ExoDx 27 (indeterminate), 12/21 MRI 2 PI-RADS3 lesions (again intermediate), 12/21 Fusion Bx 1/12 positive Gleason 6 in 10% of core.  Plan :  Active Surveillance.  6/22 PSA 4.3, 1/23 5.4, 2/24 7.8, 5/24 TRUS Bx (random), 35gm, 1/12 positive 5%  for Gleason 6. 12/24 10.6.  3/25 PSMA PET localizing uptake to same two suspicious areas as MRI 12/21.  Urologist didn't do and had never referred for focal therapy, but did so after we discussed it.  Saw new urologist 9/25, PSA 12.  HIFU planned, insurance (BC/BS, not Medicare) denied as experimental.  Changed insurance at "open enrollment" at beginning  of 2026.  They covered HIFU.  2/9/26 HIFU left hemiablation "hockey stick" done and uneventful.  Odd that PSA accelerated with Gleason 6 on active surveillance, but I didn't want to wait until I needed radiation or radical prostatectomy.

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• BO

  @bob-atl · 6 months ago (edited)

  8 mo out from focal HIFU, had GG4, PSA was 12, now 3. &nbsp;Ablation covered about 1/4 of gland, plenty margin. &nbsp; &nbsp;It was a good choice for me, so far anyway.<br>Update: 10 mo out, clear MRI and clear 12 core biopsy, great news..

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• KI

  @kitchp · 1 month ago

  I had Nanoknife in Nov &apos;25 following two biopsies. 1st showed one lesion Gleason 7 3+4. My PSA went from 3.1 at age 60 to over 7 in 6 months. Therefore I had a 2md template biopsy Gleason 7 4+3 with 2 lesions.<br>I was offered prostactamy , radiotherapy and brachytherapy plus private Nanoknife. <br>I decided on Nano.. I had the catheter removed after 5 days, but couldn&apos;t pee, so had to self catheter for 2 weeks. MRI looked good, first PSA after 2 months (too early) was 8.7. Surgeon sent me for another PSA a couple of weeks later, and it was 12!! I was sent for an urgent PET CT scan, which came back as ok with no spread. We waited for 3 months post procedure and it came back as 1.2 😊. 3 months later 2.2!! Due another this week.<br>Side effects are that virtually no semen, erections now pretty good and no urine issues

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• MA

  @Mandorla12 · 4 months ago

  Here in Phoenix, AZ, the VA does not use Nanoknife procedure but could agree to private doctor through Community Care Program.

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• KE

  @kennethcarter2798 · 6 months ago

  I am 120 days post radiation treatments, still wetting the bed at night. It comes and goes.

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• MI

  @miketaylor1240 · 6 months ago

  From very recent experience I can say that this is an excellent overview. &nbsp;I had a Nanoknife procedure at Noosa hospital on 9 March. &nbsp;My MRI report on 16 March concluded &quot;Excellent nanoknife treatment with respect to the previous PI-RADS 5 lesion left base to midgland posteromedial and posterolateral peripheral zone. &nbsp;No residual tumour&quot;. &nbsp;Per the video, my lesion was unifocal with MRI and PSMA PET scan lining up well to define the tumour and the PET scan showing no metastasis. &nbsp; 11 days after the procedure, I have some urinary urgency overnight but otherwise no side effects - certainly no need for pads. &nbsp;I realise that with a Gleason 4+5, I am at the high grade end of where Nanoknife is usually performed. &nbsp;Thus I will certainly observe PSA (although mine was steady at 2.5 for 5 years), MRI, biopsy and PSMA PET scan surveillance as needed - ignorance is definitely not bliss when it comes to cancer. &nbsp;In that context, my surgeon noted that there is a perhaps 5% chance that I have micro-metastases in my lymph glands which are at present too small to be detected even by PSMA PET - of course I hope that the 95% non-metastasis rate referred to in the video applies to me. &nbsp;I feel very fortunate that a surgeon experienced in Nanoknife, plus all those scans, were available in a small town like Noosa. &nbsp;Sadly, at present Nanoknife is not covered by Medicare or the health funds, so I was self-funded. &nbsp;Given the efficacy of Nanoknife for eligible patients and the fact that it must cost the medical system far less than say a radical prostatectomy, I hope that this funding situation will soon change.

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• BR

  @BreakingTubeNation · 6 months ago

  Waiting for my biopsy results so I can decide if the focal therapy is good for me.. thanx a lot doctor..

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• CR

  @craigczeczuga6075 · 2 months ago

  I had the nanoknife procedure in October 2025. 3 months later PSA is 1.2. In April 2026 had an MRI that was clear and now will be scheduled for a biopsy in December of 2026. The only issue that I wasnt made aware of was the side effect of no release of semen during ejaculation. Im learning to accept. The other issue I had was needing to self catheterize a few weeks after the procedure since I couldn&apos;t urinate on my own. Unfortunately I got a urinary tract infection from it. Hopefully its all behind me and I wont need the nanoknife procedure again.

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• W8

  @W8YN0 · 2 months ago

  Great Information the best on UTube thank you

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