Conventional treatments such as surgery to remove the whole prostate or radiotherapy can effectively treat tumours, but patients often suffer side effects such as incontinence or impotence |
Doctors
believe a "revolutionary" sound wave technique being used to treat
prostate cancer could be as effective as surgery or radiotherapy - and cause
fewer side effects.
Tim
Dudderidge, a consultant urological surgeon at Southampton General Hospital, is
among a small group of clinicians in the United Kingdom (UK) performing High
Intensity Focused Ultrasound (HIFU) on National Health Service (NHS) patients.
The
procedure, which sees patients leave hospital the same day, allows surgeons to
focus high frequency sound waves directly on to tumours in the prostate gland
at 80 to 100C without affecting surrounding healthy tissue.
Although
conventional treatments such as surgery to remove the whole prostate - known as
radical prostatectomy - or radiotherapy can effectively treat tumours, patients
often suffer side effects such as incontinence or impotence.
In
a study led by University College Hospital (UCH) in London, researchers
followed 625 men - which included 50 patients from Southampton - between 2004
and 2015 with tumours in one part of the prostate which had not spread beyond
the gland.
The
results, presented by UCH consultant urological surgeon Mr Hashim Ahmed at a
meeting of the European Association of Urology in Munich, found 93% of patients
who underwent HIFU alone remained cancer-free without any need for surgery or
radiotherapy five years after treatment.
In
addition, only 1 to 2% of men who underwent HIFU experienced long-term urinary
incontinence - compared to between 10 and 20% of men who have had surgery or
radiotherapy - and just 15% suffered erectile dysfunction, compared with
between 30 and 60% of surgical patients.
Prostate
cancer mainly affects men over 50 and is the most common type of cancer in men,
with around 37,000 new cases diagnosed in the UK every year.
Mr
Dudderidge, who co-authored the study, said: "The results of this study
are impressive and have the potential to transform prostate cancer treatment
for many men in the future.
"It is extremely
exciting technology and these results show that in men diagnosed early by
prostate-specific antigen (PSA) blood testing, this targeted therapy could be
as effective as surgery to remove the whole prostate gland or radiotherapy and
cause far fewer side effects."
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