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risks of Gleason 3+4

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User
Posted 28 Jan 2020 at 09:16
Yes. The Sperling prostate centre is not a hospital so it doesn’t have operating theatres and the treatments take place inside the mri machine so I don’t think a general would ever be used. Guessing however.

Good luck

User
Posted 28 Jan 2020 at 12:56

A comparatively small number of cases using HIFU have been done using a spinal block or epidural where appropriate. I believe those administering the treatment prefer a patient to be anesthetized because it is important that the man does not move and for the patient, the position he is placed in is very unnatural for this procedure.

Edited by member 28 Jan 2020 at 13:03  | Reason: Not specified

Barry
User
Posted 28 Jan 2020 at 14:30

OBarry

Yes, I remember a video article with Prof E (UCLH) saying he preferred GA for this reason. With nanoknife GA is mandatory as the pulses have to be accurately timed with cycles of the heart so as not to disrupt the rhythm.

TG

User
Posted 28 Jan 2020 at 14:40
OK interesting, the issue remains then what are the options when a GA is contra indicated and does it mean those centres that offer HIFU and other such treatments that require similar precision and accuracy under a spinal are taking a risk?
User
Posted 28 Jan 2020 at 15:03

Nomis

I'd be tempted to email the UCLH team and get a view. They are normally pretty accommodating and will give reasons for approach etc.

TG

 

 

 
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