If you are looking for a HIFU Doctor in Sarasota, let Dr. Scionti help you! Choose the most experienced HIFU Physician in the USA.
Dr. Scionti will administer a Prostate Cancer Treatment that is noninvasive and kills prostate tissue in the body with powerful precision focused sound waves. MRI Fusion ARTEMIS software is used extensively so that tumors well seen by MRI, are visible on the HIFU treatment screen and can be precisely targeted for treatment.
HIFU is a revolutionary high tech approach to treating prostate cancer noninvasively. The technology has been under development for 30 years and was first used in Europe to treat prostate cancer in 1995. It has been approved for use in Europe, Asia, Mexico and the Caribbean for many years and has recently been FDA approved in the US for prostate tissue ablation. In 2014, HIFU was incorporated into the EAU (European Urology Association) guidelines as a primary and salvage treatment for prostate cancer.
HIFU was approved for use in the United States on October 9, 2015. The Vituro Health, National HIFU Center in Sarasota, Fl, directed by Dr Scionti, opened on December 4, 2015 and as of June 2016, has already treated over 100 men with HIFU for their prostate cancer.
A high level of experience is required to obtain excellent results with minimal side effects. Currently, there are NO physicians in Sarasota with significant HIFU experience.
Before HIFU: Preparation for HIFU begins with 36 hours prior to treatment. My patients begin a clear liquid diet 36 hours prior to their treatment. The administration of 2 FLEETS enemas two hours prior to the procedure ensures that the rectal cavity is clean and free of any debris that can block passage of the sound waves into the prostate gland. An antibiotic pill is prescribed to begin on the morning prior to the treatment.
During HIFU: Precision HIFU treatment requires that the patient be absolutely still. Therefore, a general anesthetic is administered during the procedure. A catheter will be inserted into the urethra or rare cases though the abdominal wall (Suprapubic tube) in order to ensure urinary drainage. I will insert a small probe (HIFU transducer) into the rectum that sends ultrasound waves directly through the rectal wall and into the prostatic tissue. During the procedure, the Sonablate® 500 delivers real-time images of your prostate and the surrounding area giving me immediate and detailed feedback. Treatment time varies, but generally the procedure lasts a few hours, depending on the size of the prostate. The new TCM (tissue change monitoring) software allows me to determine the effectiveness of each HIFU pulse in order to ensure that the targeted tissue was successfully treated.
After HIFU: Immediately after Sonablate® HIFU procedure most patients typically spend one to two hours recovering at the treatment facility and then are discharged. At that time I will prescribe some basic medications, but most patients do not experience any pain after the procedure. You will be discharged with the catheter in place as it will be necessary to ensure that the bladder empties properly in the early post HIFU recovery. This catheter will remain in place anywhere from a few days time up to a few weeks time based on the extent of your HIFU treatment and the size of your prostate. In cases of targeted focal treatment, the catheter is only needed for a few days.
Post HIFU care: You will be in close contact me with during the initial recovery phase. If you live a significant distance from Sarasota, you will be speaking with me every few days until I give you the green light to have your local physician remove your catheter (this is a simple process). If you are local to Sarasota, you will be followed very closely in my office. You will have your first PSA blood test at 3 months post procedure. This 3 month PSA test represents your new baseline or nadir (low point) level and I will ask you to get your PSA every 3 months in year 1 post HIFU and every 6 months thereafter. If you live at a significant distance from Sarasota, it would be ideal to see me personally a visit at the time of your 1-year anniversary post HIFU.
Potential Side Effects and Complications
All treatments for prostate cancer carry some risk for potential side effects and complications. Side effects include frequency, urgency, mild discomfort or discharge in urinary stream or urinary infection in the first few weeks after HIFU. Studies performed outside the US report that less common side effects (these may be more severe) may also include urinary stricture (scar formation in the urinary channel), urinary retention, incontinence (1 – 1.5%), impotence (up to 25% risk) and rectal fistula (very rare: less than 0.5%). Focal or partial gland treatments carry a lower risk of side effects if you are a candidate for that type of HIFU treatment. As with any medical procedure, all potential side effects and complications should be discussed with your HIFU doctor before undergoing therapy.
Defeat prostate cancer.
Don’t trust your cancer treatment to less experienced physicians.