Article

Current Urology Reports

, 9:113

First online:

Current status of high-intensity focused ultrasound for prostate cancer: Technology, clinical outcomes, and future

  • François-Joseph L. MuratAffiliated withUrology and Transplantation Department, Edouard Herriot Hospital Email author 
  • , Albert Gelet

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Abstract

Based on a review of recently published articles, we evaluated the current status of high-intensity focused ultrasound (HIFU) as a primary treatment option for localized prostate cancer and as a salvage therapy when radiation has failed. With mid-and long-term progression-free survival rates around 70%, negative postoperative prostate biopsies almost 90%, and an excellent morbidity profile, primary HIFU appears to be a valid alternative to active surveillance protocols in low-risk patients and standard therapies in patients with life expectancies of 10 or fewer years. Moreover, HIFU has a considerable potential for local-only recurrence after radiation failure. HIFU is a recent technology, and many improvements will undoubtedly expand its future indications and use for the management of prostate cancer.