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1-877-949-5325 9195 Sunset Drive Suite 110
Miami, Florida. 33173

Frequently Asked Questions – Prostate Cancer & HIFU

  • How long has Sonablate® HIFU it been done? Where?

    HIFU was originally researched in the United States almost 50 years ago. Focus Surgery, Inc., the developers of Sonablate®, introduced the first application for prostate disease in the early 1990s with the Sonablate® 200. In Europe, Asia and the Americas over 6,000 treatments have been done with the Sonablate®. The Sonablate® 500 is being studied in clinical trials for use in the treatment of prostate cancer in the United States and is approved for use by the U.S. Food and Drug Administration. HIFU with the Sonablate® 500 is authorized for use for the treatment of prostate cancer in Canada, Argentina and the Dominican Republic. It is also available in the Bahamas and Mexico.

  • Is it a one time procedure or do I have to return for multiple procedures?

    In most cases, HIFU with the Sonablate® 500 is a one time procedure that lasts approximately 1-4 hours depending on prostate size. It is considered an out-patient procedure meaning that the patient can be discharged after he or she has recovered from the anesthesia.

  • Is it a one time procedure or do I have to return for multiple procedures?

    In most cases, HIFU with the Sonablate® 500 is a one time procedure that lasts approximately 1-4 hours depending on prostate size. It is considered an out-patient procedure meaning that the patient can be discharged after he or she has recovered from the anesthesia.

  • Is it a one time procedure or do I have to return for multiple procedures?

    In most cases, HIFU with the Sonablate® 500 is a one time procedure that lasts approximately 1-4 hours depending on prostate size. It is considered an out-patient procedure meaning that the patient can be discharged after he or she has recovered from the anesthesia.

  • During HIFU is the entire prostate destroyed or does the doctor only target the tumor or diseased area?

    During the HIFU procedure the entire prostate gland will be ablated or destroyed. Because it can be very difficult to determine the exact location of the cancer or tumor within the prostate, the Sonablate® 500 is programmed to target the entire gland. This also minimizes the chance for recurrence.

  • How do I know if I am a candidate for HIFU? What are the qualifications?

    Like most prostate cancer therapies, there is an “ideal” candidate for HIFU. HIFU is most effective for patients with early stage prostate cancer where the cancer is localized to the prostate. It is recommended that you discuss your individual medical records and history with a HIFU certified physician in order to confirm whether or not you are a candidate for HIFU.

  • Is this procedure repeatable?

    Yes, HIFU with the Sonablate® 500 can be repeated if necessary. In most cases, Sonablate® HIFU is a one-time procedure, however, unlike radiation it will not prevent patients from having other treatments (radiation, cryotherapy etc) if needed.

  • What happens to the urethra during HIFU? Since it runs through the center of the prostate is it destroyed during the procedure?

    During HIFU, the entire prostate is ablated, including the prostatic urethra. However, the urethra is derived from a different type of tissue (bladder squamous-type epithelium) rather than prostatic tissue (glandular, fibrotic and muscular) and does regenerate with time. While the urethra is an important anatomical structure, the sphincter and bladder neck are more important to maintaining the urinary function. During HIFU the sphincter and bladder neck are identified and avoided.

  • How long will I have to stay in the hospital?

    HIFU is an out-patient procedure and does not normally require any hospital stay. The procedure usually takes 1-4 hours, depending on prostate size and recovery time is 2-3 hours. After recovery, the patient is discharged.

  • Where is the procedure available?

    HIFU with the Sonablate® 500 is available in Argentina, Canada, Costa Rica, Mexico, South Africa, the Bahamas and the Dominican Republic.

Why Choose Hifu Prostate Cancer Institute Miami?

PERSONALIZED CONCIERGE Medical Care, 24 Hours / 7 Days Per Week:

Most medical treatments, including HIFU, are performed in brief time frame. In fact, diagnosis, arriving at a treatment decision and post-treatment care consumes the majority of patient-doctor time and care. By offering PERSONALIZED- CONCIERGE medical care, our patients have 24/7 access to Dr. Suarez.


Samples of FAQs

  • We submitted the claim forms to both Blue Cross Blue Shield and Medicare for Robert but BCBS returned it because they are requesting information about coding. Would it be okay if I fax the forms and their letter to you so you could complete the required information?

    Yes it is ok to fax. But keep in mind that the only insurance quote we have is a non-specific code. The government has not provided an insurance (CPT) code. This was clearly stated on your initial patient information package. Rafael can provide a copy of this document if needed.

  • When you have completed the form would you please send it on to BCBS?

    We will be happy to do so. They accept this on an individual basis. Let’s hope for the best

  • We also have some questions regarding [patient’s name] recovery from his procedure. He is finding that he is needing to urinate during the night several times disrupting his sleep.

    This is normal and will persist for up to 3 months from the treatment or until the ablated tissue is gone. One must drink 8-10 glasses of water daily in order to pass the tissue.

  • Prior to his procedure his did not get up in the night to urinate. Since he is still taking Flomax will this issue of going pee in the night stop or reduce when he has completed the prescription?

    He must stay on Flomax, twice a day for three months after the treatment.

  • Also, he is finding that he cannot urinate while sitting.

    Men have a more difficult time voiding when sitting, so this is normal.

  • He can and has no problem standing and he still uses the cup to pee in but he is finding that while sitting he does not empty.

    Please note that this is normal. I refer you to the FAQs on the website. Likewise please view the section regarding complications.

  • Is this going to take care of itself or is there an issue we should be concerned with? He feels he is pinching the flow while sitting.

    This will resolve on it’s own. Again please refer to the FAQs and the website.

  • Since he has had no desire for sex he has not taken Cialis beyond the first month.

    Yes, Cialis will also help with voiding. The low sex drive is likely due to low testosterone from the general anesthesia itself.

  • So I cannot respond to impotence. When we cross that bridge and if we have any issues I will get back to you at that time. Please feel free to call me anytime. Many thanks for all your assistance

    It is our pleasure and, as we always say, “It’s a full time job, 24/7 to be here for our patients”.

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