An estimated 1 in 8 men at some point will get prostate cancer, which is the second leading cause of death in American males. Advancements in treatment have significantly improved the odds of surviving prostate cancer, but they often come with undesirable side effects such as incontinence and erectile dysfunction.
Now UC Davis Comprehensive Cancer Center is offering a leading edge, non-invasive prostate cancer procedure without a blade, an incision, a scar or any radiation. It is called high-intensity focused ultrasound (HIFU). The idea is to avoid the risks and the side effects that come with a radical prostatectomy while reducing time away from work or activities.
Sacramento man is one of the first to benefit from new treatment
Jason Stokes, 53, is younger than most men diagnosed with prostate cancer, which is typically discovered in people 65 and older. Busy with work, family and outdoor activities such as mountain biking and skiing, the idea of avoiding major surgery was appealing.
“For me, it was a no-brainer,” Stokes said. “I’d get the peace of mind that comes with treating the cancer, while avoiding the side effects of a prostatectomy and the risks of receiving radiation therapy.”
An estimated 80% of early-stage prostate cancer patients who undergo HIFU will not need additional treatment. The robotic platform, developed by Focal One, removes prostate tissue by focusing high-intensity ultrasound waves only on the affected area, causing localized heating that destroys the cells in the gland without damaging the healthy surrounding tissue.
"The technique is like sunlight passing through a magnifying glass. It is concentrated at one point resulting in a significant temperature increase around the targeted focal point," said Marc Dall'Era, acting chair of the Department of Urologic Surgery.
The outpatient procedure takes less than two hours and patients can return to work and normal activities within a week. Conventional surgery to remove the entire prostate typically requires an overnight stay in the hospital and a recovery of six weeks or more.
Stokes underwent the procedure on a Friday and said he could have gone back to work the following Monday, although he had already planned to take two additional days off for recovery.
"I was mountain biking within a week of the procedure and skiing with my family a week after that," he added.
Stokes was fortunate that his cancer was caught early, which made him a good candidate for the HIFU procedure. It was discovered by his primary care physician who noticed a lump was discovered on Stokes during a routine digital exam, even though his prostate-specific antigen (PSA) levels were not alarmingly high. A biopsy confirmed an early prostate cancer, which was also visible on an MRI.
"I kept thinking to myself, 'Why can't they just beam it out?'" Stokes said. "When Dr. Dall'Era explained the HIFU technique, I thought, 'This is the closest we're going to get to that.'
Procedure is less invasive, less risky and less expensive
Stokes will need to undergo PSA blood testing at three, six, and 12 months, as well as an MRI scan. Additionally, a biopsy may be performed at one year to assess the full outcome of the procedure.
"We are excited to be the first in the region to offer this unique prostate cancer treatment," Dall'Era said. "Men like Jason can go on with their lives and not play the waiting game as they put off a radical prostatectomy. Essentially, HIFU is less invasive, less risky, and ultimately, less expensive than conventional surgery. Most importantly, it preserves quality of life."
Stokes encourages other men with early-stage prostate cancer to talk to their doctor about treatment options.
"I'm lucky UC Davis Health recognized me as a person and not just as a patient," Stokes said. "Everyone from the doctors to the nurses and the administrative staff are so great. They were supportive of my lifestyle and goals, helping me weigh the alternatives and even helping to navigate insurance to make it all happen."
