Medicare Elite Access Hifu Program
The Scionti Prostate Center welcomes Medicare patients who chose HIFU for prostate cancer treatment. CPT Code, 55880, enables Medicare reimbursement of hospital outpatient facility costs.
Elite Access Program Overview:
- HIFU procedure is performed at Lakewood Ranch Medical Center in Lakewood Ranch, The Florida Medicare carrier has paid the hospital charges in every single case over the past year. This program is the most successful Medicare HIFU program in the USA with well over hundreds of Medicare patients treated.
- Consultation with Dr. Scionti to develop a personalized treatment pathway for your prostate cancer that provides effective cancer treatment while maintaining your quality of life
- Personal access to Dr. Scionti and his HIFU care team as you undergo treatment.
- Our staff can assist you with Financing non-covered costs.
- Precision MRI Fusion Guided HIFU treatment personalized for your prostate cancer characteristics performed by the most experienced HIFU physician in the United States.
- Personalized Post HIFU care plan detailing follow-up, PSA testing, MRI monitoring, diet, lifestyle and nutritional supplement recommendations.
List Of The Pros Of The Hifu Treatment For Prostate Cancer
1. HIFU is approved by the FDA for treatment of prostate cancer.Although the high-intensity focused ultrasound procedure was hanging in limbo for several years waiting for regulatory approval, it is now available to men in the United States when they receive a diagnosis of prostate cancer. There are two systems currently available that can treat tumors or destroy diseased tissue, making it a useful option for many men. Medicare has already agreed to cover the treatment with their coverage protocol as well, which should impact its level of availability in the near future.
2. It doesnt take long to produce the results that you want.The HIFU treatment option takes four hours or less to successfully deal with the prostate cancer. Some patients can have their procedure completed in 60 minutes because of how effective it is. Before you can have it done, your doctor will want you to have an enema to ensure that your bowels are empty. There is also a restriction in place that you cannot eat or drink anything for at least six hours before having the operation.
Some men report that they have trouble urinating after having the HIFU procedure. They might also leak urine between trips to the toilet. There can also be pain between your rectum and testicles that medication can treat. Rare side effects include a UTI, blood in the urine, and a testicular infection.
Is Hifu Used Instead Of Active Surveillance For Prostate Cancer
Patients who have prostate cancer which has not spread and is low risk or a small amount of medium risk cancer are suitable for active surveillance. This involves monitoring the prostate cancer with regular PSA blood tests, clinical exam, MRI scans and sometimes biopsy. The strategy of active surveillance is very safe for these patients. This is because low-risk prostate cancer in the majority doesnt grow or spread and medium risk prostate cancer grows very slowly when it is a small amount. So, generally, we would not advise any kind of active treatment as an alternative to active surveillance for patients who have proven low-risk prostate cancer on a high quality multiparametric MRI and image fusion targeted and systematic prostate biopsy. Patients who have medium risk prostate cancer have the option of active surveillance or focal HIFU or focal cryotherapy, or if they wish, surgery or radiotherapy to treat the entire prostate. The choice is up to the individual patient in discussion with his doctors.
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Q How Does Hifu Differ From Brachytherapy
A: Brachytherapy is a form of radiation therapy. It involves the placement of radioactive seeds inside the prostate. These seeds stay inside the prostate until the procedure is complete. They may also migrate to other organs.
Comparatively, HIFU is a radiation-free prostate cancer treatment. It involves the use of a clean energy source and can be performed multiple times if necessary. Additionally, if HIFU does not deliver the desired results, a patient can pursue other treatment options following the procedure.
If I Have Hifu Can I Have Hifu Again
If there is residual cancer or a recurrent cancer on follow-up, the majority of patients can have HIFU for prostate cancer treatment again to that area. Some patients have new areas of cancer in untreated tissue and in these instances again many choose to have HIFU focal therapy to those individual new areas. At any point a patient may choose any form of surgery or radiotherapy.
Q: How Long Does A Hifu Treatment Take
A: HIFU is performed as an outpatient procedure, wherein patients do not need to be hospitalized. The procedure is performed at an outpatient facility and they go home shortly after they undergo HIFU. The duration of the HIFU procedure depends on the amount of tissue that needs to be treated. On average, a HIFU treatment will take about an hour and a half to three and a half hours.
What Are The Advantages And Disadvantages Of Hifu
What may be important for one person might not be so important for someone else. If youre thinking about having HIFU, speak to your doctor or nurse before deciding whether to have it. They can help you choose the right treatment for you. Take time to think about whether you want to have HIFU.
- HIFU doesnt involve any cuts to the skin or needles, apart from a needle in your hand to give you a general anaesthetic.
- Focal HIFU can treat small areas of cancer while causing little damage to nearby tissue, nerves and muscles.
- You only need a short hospital stay you can usually go home on the same day as your treatment.
- Recovery is usually quick and most men return to their normal activities within two weeks.
- HIFU is less likely than surgery to cause erection or urinary problems.
- You may be able to have HIFU if your cancer has come back after radiotherapy.
- You may be able to have HIFU again if your cancer comes back after your first HIFU treatment. This isnt the case with all treatments.
- You may also be able to have other treatments after HIFU if your cancer comes back, such as surgery or radiotherapy.
- In the UK, HIFU is only available in specialist centres or as part of a clinical trial. You may need to travel a long way to your nearest treatment centre.
- Compared with other treatments, we dont know how well it works in the longer term .
- As with other treatments, you may get side effects, such as erection and urinary problems.
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Are You A Candidate For Partial Prostate Gland Hifu Therapy
HIFU has been shown to help many patients treat their prostate cancer symptoms, but deciding between partial or whole gland HIFU therapy can be difficult. Fortunately, our urologists help patients take the guesswork out of selecting the right prostate gland treatment.
Our urologists meet with patients, learn about their prostate cancer symptoms, and develop a custom treatment program. They also will perform a comprehensive patient evaluation and learn about a patients long-term prostate cancer treatment goals. Then, our urologists will help patients weigh the pros and cons of partial and whole gland HIFU therapy and other prostate cancer treatments.
Mri Fusion Biopsy And Hifu
Prostate cancer is a very treatable disease, and its early detection is one of the keys to surviving the diagnosis. Advances in technology have led to a promising prostate cancer diagnostic toolthe fusion biopsy, which combines both magnetic resonance imaging and ultrasound technologies to locate tumors in the prostate gland. Currently, prostate MRI is considered the best imaging method for detecting prostate cancer. The innovation of MRI fusion biopsy represents one of the newest and most accurate ways to sample the entire prostate gland for cancer. As a result, MRI fusion prostate biopsies are becoming increasingly popular, leading to more accurate biopsies to pinpoint the precise location of the cancer within the prostate.
The MRI Fusion Biopsy and HIFU allows your prostate specialist to perform targeted prostate biopsies on the areas most suspected of containing a cancer, which not only reduces false positives and the total number of biopsies performed but also decreases the risks of side effects such as infection. With this biopsy technique, previously unseen prostate tumors are now found, and those missed due to being in nearly inaccessible areas are now easily detected. The major problem with traditional prostate biopsy methods are false negatives for cancer, where either the disease is totally missed or less aggressive cancer is diagnosed with failure to realize another area with more aggressive cancer.
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Is Hifu Approved By The Fda
HIFU was approved by the Food and Drug Administration in 2015 to remove prostate tissue. It has not been approved to treat prostate cancer and is considered investigational in the United States. If you have been diagnosed with prostate cancer, HIFU may be a treatment option for you through a clinical trial. Your doctor can help you understand your eligibility and address any questions you may have.
Q What Are The Side Effects Of Hifu
A: Common side effects of an HIFU procedure include rectal irritation, urinary frequency and urgency, urinary retention, and urinary tract infection . These side effects may affect a patient for only a few days after treatment. In many instances, the side effects can be managed with medication.
In rare cases, HIFU patients have experienced urethral strictures, rectourethral fistulas, and infections of the pubic bone. Patients who experience any of the aforementioned side effects may require a follow-up procedure to address these issues.
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How Does High Intensity Focused Ultrasound Work
HIFU destroys prostate cancer through the delivery of precise and focused sound waves to a targeted spot of diseased prostate tissue. This technology uses ultrasound energy, not radiation, to destroy the targeted tissue. The Ultrasound energy, or sound waves, is transmitted through the rectal wall and focused at desired locations within the prostate identified by MRI and confirmed by ultrasound. This targeted and minimally invasive approach to treating prostate cancer leaves the healthy tissue untouched and unharmed and minimizes the chance of side effects.
The basic concept of how HIFU targets, burns and destroys specific prostate tissue is similar to how a magnifying glass can use the suns rays of light to burn a precise hole in a leaf at the point of intersection. Similar principles apply to HIFU. Instead of using light as the source of energy, HIFU uses sound, and instead of a magnifying glass, HIFU uses a transducer. The sound waves that are aimed at the prostate tissue, rapidly increase tissue temperature, destroying only the cancerous lesions and protecting the healthy surrounding tissue.
What Are My Prostate Cancer Treatment Options
Prostate cancers can be approached in different ways depending on their characteristics. Several modalities can be proposed, either alone or in combination.
Depending on the case, the objective is :
- Monitor the disease evolution to delay the initiation of a treatment
- Removing or reducing the tumour and/or metastases
- Reducing the risk of cancer returning
- Slowing down tumour or metastases development
- Treat the symptoms caused by the disease to ensure the best possible quality of life.
Treatment options depending on the stage of prostate cancer are:
- Active surveillance
- Radical prostatectomy
The care plan should be discussed with the urologist to define the best treatment strategy based on the cancer characteristics and patients choices.
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Hifu Prostate Cancer Treatment In Cleveland
Cleveland Urology Associates are committed to providing the highest quality care to patients throughout Cleveland. We specialize in the diagnosis and treatment prostate cancer using HIFU. Dr. Kedia and Dr. Lapeyrolerie are dedicated to offering patients a wide range of quality urologic services in a warm and friendly environment to provide the very best care.
Dr. Kedia and Dr. Lapeyrolerie specialize in using HIFU to treat prostate cancer. They will take the time to discuss all of the available prostate cancer treatment options to help determine if HIFU is right for you. Call to schedule an appointment at our office in Cleveland, OH today!
Who Is A Candidate For Hifu With The Sonablate
Sonablate® HIFU is most effective for men who have early stage, localized prostate cancer that has not spread or metastasized outside the prostate. It is recommended that all men discuss individual medical records and history with a physician in order to confirm whether or not they are a candidate for HIFU. Sonablate® HIFU is also an effective therapy for recurrent prostate cancer when patients may not have any other treatment options. Many patients who have had radiation therapy experience a rise in PSA and discover that the cancer has returned. These patients may be candidates for the HIFU treatment as well.
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Hifu Treatment: What You Need To Know
High-intensity focused ultrasound is a type of cancer treatment that uses sound waves to kill cancer cells. Sound waves can be focused on a very small area, which makes them useful for treating cancer.
HIFU is most commonly used to treat prostate cancer, but it can also be used to treat other types of cancer, such as pancreatic cancer, liver cancer, and breast cancer.
HIFU treatment is usually done as an outpatient procedure, which means you can go home the same day. The procedure usually takes less than 2 hours.
Before the procedure, you will be given a sedative to help you relax. You will lie on your back on a table. A gel will be placed on your skin over the area where the sound waves will be focused. A special device that produces sound waves will then be positioned over the gel. The device will emit sound waves that travel through the gel and your body.
Your doctor may have you drink a lot of fluids before the procedure to help prevent kidney stones.
Your doctor may also give you a medication to help you relax.
An ultrasound is a medical procedure that uses sound waves to look at areas inside the body. It is also called sonography.
Ultrasound is used to look at organs, blood vessels, tendons, muscles, joints, and to check a babys development in the womb.
During the procedure, the sound waves will be focused on the cancer cells. The sound waves will heat up and kill the cancer cells.
Commercially Available Hifu Devices And Treatment Technologies
As of 2011, two transrectal HIFU devices were commercially available for the treatment of PC, the Ablatherm and the Sonablate 500 . Although neither of the devices has received Food and Drugs Administration approval for marketing in the US, regulatory clearance is likely for the Ablatherm device when the results of a prospective trial become available .
Commercially available transrectal HIFU devices: Ablatherm and Sonablate 500 .
Nevertheless, the foundation science and technology of both systems is identical, but there are several technological differences between the two devices. These differences, for the most part, arise from different schools of thought with regards to how best to design the optimal HIFU treatment system. Specifically, the differences arise in how the manufacturers went about choosing operating frequencies and intensities. This is an optimization based on the effects that modifying these parameters will have influence on image quality and ablation ability .
The Ablatherm machine consists of a treatment module that includes the patients bed, probe positioning system, ultrasound power generator, cooling system for preservation of the rectal wall, and ultrasound scanner used during the treatment localization phase. There is also a treatment and imaging endorectal probe that incorporates both a biplanar imaging probe working at 7.5 MHz and a treatment transducer focused at a maximum of 45 mm working at 3 MHz .
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Who Is Suitable For Hifu For Prostate Cancer Treatment
The vast majority of patients that undergo HIFU for prostate cancer treatment, have medium risk prostate cancer. This means that the cancer is contained within the prostate and has a Gleason score of 3+4=7 or 4+3=7. This is commonly now referred to as ISUP Grade Group 2 or 3. Provided that one or two areas can be treated with HIFU and there are no other contra-indications, this is the optimal group of patients. High risk disease which is small or just touches the capsule of the prostate can also be treated with HIFU in the UK about 10% of HIFU cases are high risk.
In some patients who have disease suitable for HIFU, but it is in a place or in a gland that is difficult for HIFU to be technically delivered, Professor Ahmed might advise focal cryotherapy. This is because the tumour is high up in the prostate in the anterior part or there is a significant amount of fat or other types of tissue between the prostate and the rectum which would interfere with the delivery and the transmission of the-pulses. You will find more information about focal cryotherapy here.
To hear Professor Ahmed talk about the prostate cancer pathway and HIFU treatment for prostate cancer, see Professor Ahmed talking about HIFU.
HIFU for prostate cancer is available in the NHS and privately.
Imperial Private Healthcare
Scca Now Offers Hifu A Noninvasive Nonionizing Ultrasonic Treatment For Prostate Cancer
When Seattle Cancer Care Alliance launched its high-intensity focused ultrasound program last year under the leadership of urologic oncologist, George Schade, MD, it became the only medical center in Washington state to offer the procedure.
Now, HIFU is finally gaining traction in the U.S. after a long history of use in Europe and Asia and FDA approval in 2015. As an HIFU expert, Dr. Schade has been researching next generation HIFU technologies for more than 10 years, most of that time with engineers at the University of Washingtons Applied Physics Lab.
Because it is noninvasive and uses non-ionizing sound waves that have fewer side effects, HIFU is popular among patients who increasingly seek this therapy over surgery and radiation. Insurance coverage is also improving, Dr. Schade says. Medicare and some private payers now cover the procedure.
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