HIFU · High-Intensity Focused Ultrasound for Prostate Cancer in Bangkok

HIFU is a non-invasive prostate cancer treatment that uses focused ultrasound waves to destroy a targeted area of the prostate · either the entire gland or just the tumor (focal therapy). For carefully selected patients with localized intermediate-risk prostate cancer, focal HIFU preserves erectile function and continence at rates significantly higher than prostatectomy or radiation, while delivering effective cancer control.

Our solutions

Why patients choose HIFU for Prostate Cancer

Focal or Whole-Gland Options

Focal HIFU targets only the MRI-visible cancer lesion · whole-gland HIFU treats the entire prostate. Choice depends on tumor location, multifocality, and your risk profile.

Focal or Whole-Gland Options

Preserved Erectile and Urinary Function

Focal HIFU preserves erectile function in 80-90% and continence in over 95% of carefully selected patients · significantly higher than prostatectomy or radiation.

Preserved Erectile and Urinary Function

Repeatable

If recurrence occurs, HIFU can be repeated · or surgery and radiation remain available as salvage options.

Repeatable

Single Outpatient Procedure

HIFU is delivered in a single 1-3 hour session under spinal or general anesthesia · home the same day or after one night.

Single Outpatient Procedure

What Our Patients Say

Male Surgery

The difference was night and day. I hadn’t felt a strong stream like that in years.

Wachirawit, 67
Male Surgery

I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.

Khom, 64

Book your consultation today.

What Our Patients Say

How to Prepare for HIFU for Prostate Cancer

  • Multiparametric MRI
    Pre-treatment MRI maps the lesion and guides focal targeting.

  • Targeted biopsy confirmation
    MRI-fusion biopsy confirms the lesion location, grade, and that no untreated significant disease exists elsewhere.

  • PSA and staging
    PSA, digital rectal exam, and clinical staging confirm localized disease appropriate for HIFU.

  • Bowel preparation
    Enema before treatment for clear transrectal probe placement.

  • Stop blood thinners
    5-7 days before treatment only if cleared by your prescribing doctor.

  • Fast pre-procedure
    No food or water for 6 hours before anesthesia.

How to Prepare for HIFU for Prostate Cancer

What Happens During HIFU for Prostate Cancer

  • Anesthesia
    Spinal or general anesthesia.

  • Catheter placement
    A suprapubic or urethral catheter is placed for drainage during and after treatment.

  • Transrectal probe positioning
    A specialized HIFU probe is positioned in the rectum, aligned with the prostate.

  • Treatment planning
    Real-time MRI or ultrasound mapping defines the exact treatment volume · focal lesion or whole gland.

  • Focused ultrasound delivery
    High-intensity ultrasound waves are focused on each treatment voxel, raising tissue temperature to 80°C in milliseconds. Adjacent tissue (urethra, rectum, neurovascular bundles) is spared.

  • Catheter and recovery
    Catheter stays in place for 7-14 days during initial healing · removed in clinic. Most patients return to normal activity within 1-2 weeks.

What Happens During HIFU for Prostate Cancer

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Patient Selection First

HIFU is not for everyone · we use MRI, fusion biopsy, and risk stratification to identify the patients most likely to benefit. The right cancer treatment depends on the right diagnosis.

Focal HIFU Expertise

Focal therapy requires precise mapping and tumor localization · not just running a HIFU machine. Our process includes multidisciplinary review before recommending focal vs whole-gland treatment.

Active Surveillance Integration

Post-HIFU monitoring with PSA, MRI, and biopsy follows current focal-therapy guidelines · we don’t over-treat low-risk disease, and we monitor for any recurrence aggressively.

Private, Discreet Recovery

Confidential care, WhatsApp recovery support, English-language follow-up and surveillance scheduling.

Frequently asked questions

Am I a candidate for HIFU?

Best candidates: localized intermediate-risk prostate cancer with an MRI-visible lesion, no extracapsular extension, prostate volume under 40-50g, and clear visualization on transrectal ultrasound. Low-risk disease may not need treatment at all (active surveillance). High-risk or muscle-invasive disease typically needs prostatectomy or radiation.

How does HIFU compare to prostatectomy or radiation?

HIFU has significantly better preservation of erectile function and urinary continence than prostatectomy or radiation in selected patients. Cancer control for focal HIFU is acceptable for intermediate-risk disease but less established than prostatectomy or radiation long-term. We discuss all options based on your risk profile.

What if the cancer comes back?

Salvage options include repeat HIFU, prostatectomy, or radiation. Recurrence is monitored with regular PSA and MRI · early detection means more salvage options remain available.

How long is recovery?

Most patients return to normal activity within 1-2 weeks. The catheter is removed 7-14 days post-treatment. Sexual function typically returns over 6-12 weeks. Continence is preserved in over 95% of focal HIFU patients.

How much does HIFU cost in Bangkok?

Cost depends on focal vs whole-gland treatment, MRI and biopsy requirements, hospital admission length, and follow-up imaging. Book a consultation for a personalized quote.

TARGETED PROSTATE CANCER TREATMENT · FUNCTION PRESERVED

TARGETED PROSTATE CANCER
TREATMENT · FUNCTION PRESERVED
TARGETED PROSTATE CANCER TREATMENT · FUNCTION PRESERVED