Focal therapy

Focal therapy for prostate cancer uses different types of energy to destroy prostate cancer cells. It has fewer side-effects than treatments such as surgery and radiotherapy. It has fewer side-effects than treatments such as surgery and radiotherapy, but long-term cancer outcomes of focal therapy treatment are not yet known.   

What is focal therapy?

Focal therapy uses different types of energy to destroy prostate cancer cells. For example:

  • High-intensity focused ultrasound (HIFU) uses ultrasound waves that create heat, which then kills cancer cells
  • Cryotherapy uses extreme cold to kill cancer cells 

Focal therapy targets the area of the prostate where the cancer cells are.

Research has shown that focal therapy has fewer side-effects than surgery and radiotherapy. For example, fewer sexual side-effects, such as difficulty getting an erection, and urinary problems, such as leaking urine.

Is focal therapy suitable for me?

Focal therapy is only suitable for prostate cancer that hasn’t spread outside the prostate.

If focal therapy is offered as an option for you, data will be collected about your treatment and outcomes. This is because it is a newer treatment and researchers want to knwo more about its effectiveness. Focal therapy might be given as part of a clinical trial. 

Focal therapy is not available in all centres.

Can focal therapy cure my cancer?

The advantage of treatments such as surgery and radiotherapy is that they can cure prostate cancer. 

Focal therapy’s effectiveness at controlling prostate cancer is still being studied.

Because it is a newer treatment, there is not enough evidence about the long-term survival of people treated with focal therapy to show how effective it is.

The HSE states that focal therapy is not routinely recommended for patients with prostate cancer because the long-term cancer outcomes are unknown. If you want to know more about focal therapy and if this might be an option for you, ask your doctor or any member of your treating team.


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