John H. Jurige, Jr., MD, presented “High Intensity Focused Ultrasound (HIFU) Ablation in a Salvage Setting” for the Grand Rounds in Urology audience in January 2021.
How to cite: Jurige, Jr., John H. “High Intensity Focused Ultrasound (HIFU) Ablation in a Salvage Setting” January 2021. Accessed Nov 2024. https://grandroundsinurology.com/high-intensity-focused-ultrasound-hifu-ablation-in-a-salvage-setting/
High Intensity Focused Ultrasound (HIFU) Ablation in a Salvage Setting – Summary:
John H. Jurige, Jr., MD, HIFU Program Director for the HIFU Center of Excellence in Louisville, Kentucky, discusses high intensity focused ultrasound (HIFU) ablation therapy for patients with radiorecurrent prostate cancer. He explains that this is a difficult subset of patients to treat, since they have very aggressive prostate cancer. Treatment will often fail, so one of the main objectives of treatment in this group must be quality of life preservation through avoidance of treatment morbidity and use of ADT. Focal HIFU is exceptional in this regard, even if its 5-year biochemical failure-free survival rates have historically been comparable to other forms of treatment. Dr. Jurige notes that these outcomes may be improved through better patient selection, and by starting patients on therapy at earlier stages of recurrence. Better patient selection, which can be more readily achieved with the recent improvements to prostate imaging, can also help prevent adverse effects like urethral stricture and rectal fistula. Dr. Jurige concludes by recommending that urologists give patients a full assessment and get all the studies they can before starting them on salvage HIFU after radiation.
ABOUT THE AUTHOR
John H. Jurige, Jr., MD, is the HIFU Program Director for the HIFU Center of Excellence in Louisville, Kentucky. In addition, he practices urology at First Urology, also in Louisville. He graduated from and completed his urology training residency at the University of Louisville, and he now serves as an Assistant Clinical Professor of Urology there. Dr. Jurige has been practicing urology for over 25 years, and has over ten years of experience with high intensity focused ultrasound (HIFU). He has served as Proctor and Medical Director for International HIFU and has treated several hundred patients outside of the United States. His clinical interests include not only HIFU, but also female urology, microsurgical vasectomy and reversal, erectile dysfunction, and advanced prostate diagnostics and fusion biopsy. He is a member of the American Board of Urology, the American Urological Association, and the Alpha Omega Alpha Honor Medical Society.
