Postoperative Care

Patient Experience

HIFU Solution makes medical care personal again. We strive to provide the best care throughout the whole process, and ensure that you are taken care of. Our nurses will available after treatment has been completed, and they will help you through the healing process. Once you begin this process, you become a part of the family, not just another number. You will have the same friendly and experienced team to help you throughout the whole process.

After the HIFU procedure, you will have a catheter for a few days. After the catheter is removed, you may experience some urinary frequency and other symptoms. You will be able to call our nurse at the call center who has experience in dealing with all these problems. We would also train nurses at your local urology office to care for you in case you need to go back for medications or other care.

It is important that after you have HIFU that you don’t get additional surgery such as the TURP without consulting us. The proper management is to get a laser or TURP before the HIFU treatment if you have urinary symptoms. If you develop urinary symptoms after HIFU treatment, it is better to treat it with a catheter and let the healing process go for a longer period rather than rushing to any additional surgery as this may cause more incontinence.

HIFU solution will continue to help patients by providing advice on long term follow up. The follow up after any prostate treatment can be divided into short term/more intense follow up and long term/less intense follow up. In the first few weeks and months after HIFU treatment, patients may experience a number of relatively minor problems which need to be addressed by someone with experience. Common problems include urinary frequency, inability to urinate, small stream, burning while urinating, possible urinary tract infection, blood tinged urine and similar problems. Many of these are self limiting and go away in a few days up to a few weeks.

In those patients that have significant problems with frequency and/or urgency and occasional urge incontinence, medications such as Oxybuytnin or Vesicare may be given. These are anti cholinergic and there are many others in this category that can be prescribed. These are used to temporarily relax the bladder and prevent incontinence. They can be stopped after a few days up to a few weeks.

The second set of problems involve the burning or pain related to temporary inflammation of the nerves in the tissue surrounding prostate and urethral mucosa. These problems can be treated by a combination of analgesics such as Ibuprofen, Tylenol, and similar agents. Sometimes medications such as AZO and Pyridium, an antiseptic, may be prescribed to reduce the sensation of burning. This is also self-limiting in a few days up to a few weeks.

The third set of problems includes difficulty urinating, slow stream, and the feeling of incomplete emptying. After a procedure, a catheter is placed for a few days. If your prostate is small, the catheter may only be required for 5 days. If the prostate is larger, the swelling may be more and a catheter may be required for 2-3 weeks. The doctor will determine the exact time of removal.

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It is better to have a catheter for a few days because the swelling will settle down and if you don’t have a catheter, then the swelling can cause long term problems. Some patients prefer not to have a catheter, so the doctor will insert a Suprapubic tube, which is a catheter placed through the bladder wall from the abdomen. This will avoid the discomfort of having a catheter in the penis and still accomplish the same beneficial results of letting the urine drain while the swelling in the prostate is healing. Your doctor will discuss with you the options of a catheter in the penis versus Suprapubic catheter as a means to address the short term problem of urinary difficulty.

In addition to using a catheter to help reduce swelling, the doctor may prescribe a course of medications such as Flomax, which is a class of drugs belonging to alpha blockers. These medications relax the prostate and let you void with a better stream while the healing is taking place. Patients with enlarged prostate may need this for a longer time.

If the prostate is very large prior to HIFU, the physician will recommend some hormone injections to shrink the prostate thereby allowing HIFU therapy to take place in a more efficient manner. The surgeon may suggest laser of the prostate to solve 2 problems: 1) reduce size of prostate and 2) reduce post operative problems of difficulty urinating and sensation of burning and incomplete emptying. The laser however is not required except if the patient has significant difficulty voiding and enlarged prostate. For more details, see Greenlight laser of prostate (learn more).

If the patient experiences ED following HIFU, then a variety of treatments can be given. These include medications such as Viagra or Cialis, penile injections, medications such as Muse (learn more), penile pump (learn more), penile prosthesis (learn more).

If the patient has problems with incontinence, usually very rare, they will be addressed by medications initially. Incontinence will only occur in those patients who have cancer on both sides near the apex. In such patients, incontinence procedures may be needed such as bulking agents or artificial urinary sphincter.

HIFU Solution will continue to help patients after the procedure by providing long-term follow-up.

To learn more, please refer to the FAQs by clicking here.