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Prostate Cancer Treatment Kihei HI

Turning up the heat may provide a less invasive, more promising treatment for prostate cancer. Blasting the cancer with a treatment that uses high-intensity focused ultrasound (HIFU) to kill cancer cells and surrounding prostate tissue offers myriad benefits over conventional treatments. HIFU can be performed under a spinal block—versus general anesthesia—most often on an outpatient basis.

Paul Charles Coty, MD
(808) 243-6302
80 Mahalani St
Wailuku, HI
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1997

Data Provided by:
Bobby Calvin Baker, MD
(304) 343-1300
227 Mahalani St
Wailuku, HI
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1982

Data Provided by:
Bruce Tsutae Shiramizu, MD
3675 Kilauea Avenue Young B
Honolulu, HI
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1983

Data Provided by:
Robert Allan Wascher, MD
(310) 449-5278
Honolulu, HI
Specialties
Oncology (Cancer), General Surgery
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1988

Data Provided by:
Kamal Nasir Ummed, MD
1585 Kapiolani Blvd
Honolulu, HI
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1993

Data Provided by:
Paul C Coty
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Hematology / Oncology

Data Provided by:
Bobby Baker
(304) 343-1300
227 Mahalani St
Wailuku, HI
Specialty
Radiation Oncology
Associated Hospitals
Cancer Institute Of Maui

Robert Warren Wilkinson, MD
(808) 942-8144
1319 Punahou St Ste 1050
Honolulu, HI
Specialties
Pediatrics, Pediatric Hematology-Oncology
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1967

Data Provided by:
Melvin Paul Palalay, MD
(808) 524-6115
1329 Lusitana St Ste 307
Honolulu, HI
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1991

Data Provided by:
Constance P Hastings, MD
(808) 433-6846
Tripler Medical Center
Tamc, HI
Specialties
Oncology (Cancer)
Gender
Female
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1959

Data Provided by:
Data Provided by:

Heal Thyself—Prostate Cancer

Provided by: 

By Barbara Hey

Turning up the heat may provide a less invasive, more promising treatment for prostate cancer. Blasting the cancer with a treatment that uses high-intensity focused ultrasound (HIFU) to kill cancer cells and surrounding prostate tissue offers myriad benefits over conventional treatments according to John Warner, MD, the medical director of the Maple Leaf HIFU Company in Vancouver, British Columbia. Maple Leaf HIFU manufactures Ablatherm HIFU, the machine currently used for this procedure.

• HIFU can be performed under a spinal block—versus general anesthesia—most often on an outpatient basis, Warner explains, with no incision and no attendant loss of blood. Studies confirm HIFU’s effectiveness in combating the disease, and because it’s noninvasive, the procedure is less likely to damage surrounding nerves and tissue. A study published in the Journal of Urology in 2003 found that five years after treatment, 87 percent of patients had stable prostate specific antigen (PSA) levels. High or rising levels suggest the presence of the disease.

• If treated early, before it spreads, prostate cancer has a nearly 100 percent five-year survival rate, according to the Prostate Cancer Foundation. Though the common methods of treatment (radiation and surgery) work effectively, they have a number of ser-ious risks associated with them. With radiation administered externally—called external beam radiotherapy—the beam can damage surrounding tissue, skin, and muscle en route to the prostate, and patients commonly require multiple treatments. Another option is brachytherapy in which radioactive pellets are inserted surgically into the prostate. The risk of this type of radiation is that the effects can extend beyond the prostate itself. A third option, surgery, requires general anesthesia and hospitalization, which both carry risks. A much more aggressive tactic, surgery involves not just removal of the prostate, but also portions of the seminal ducts and part of the bladder. Common aftereffects of all these treatments include impotence and incontinence.

• For the HIFU treatment, a probe is inserted in the rectum to guide the ultrasound to the prostate using computer imaging. The focused beam of sound reaches a heat of 85 degrees Celsius, killing the cells of the prostate (dead tissue is excreted later in the urine) while skirting the surrounding nerves and muscles. And according to Warner, 90 percent of the patients require just one treatment, which may last 90 minutes to three hours.

• Currently only the Don Mills Surgical Unit in Toronto offers Ablatherm HIFU treatment, but that may change in the near future. FDA-monitored studies comparing HIFU with cryotherapy (freezing the tissue, commonly used as a second-line of treatment) on patients with a recurrence of the disease will begin in 2006, setting the stage for the treatment to one day be available in the US.

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