Nel nuovo studio HIFU, condotto su uomini con un'età media di 65 anni e il cui cancro non si era diffuso, il rischio di incontinenza urinaria (definita come necessità dell'uso di assorbenti) a cinque anni dopo il trattamento era del 2% e il rischio di disfunzione erettile 15%. Il team afferma che i risultati includono pazienti con cancro a rischio medio-alto.
Gli scienziati hanno anche monitorato il numero di pazienti che necessitavano di ulteriori trattamenti dopo l'HIFU, (come la chirurgia o la radioterapia), per trattare eventuali cellule tumorali che erano tornate. Hanno scoperto che il 10 per cento dei pazienti aveva bisogno di ulteriori cure entro cinque anni, che è paragonabile al numero di pazienti che necessitano di ulteriori cure dopo l'intervento chirurgico o la radioterapia (5-15 per cento).
Il team aggiunge che i pazienti con cancro alla prostata dovrebbero parlare di tutti i possibili trattamenti con il loro team sanitario, in modo che possano considerare pienamente le loro opzioni (https://www.dienneti.it/sessualita/giovani-uomini-ed.html).
Sono necessari ulteriori studi di follow-up per monitorare i progressi dei pazienti dopo dieci anni, nonché studi che confrontino direttamente l'HIFU con la chirurgia e la radioterapia.
Anthony Murland è stato sottoposto a trattamento HIFU nel novembre dello scorso anno per curare il suo cancro alla prostata. "Ho sentito parlare per la prima volta del trattamento da un amico, che ha avuto la procedura pochi mesi prima. Il mio medico di famiglia non aveva sentito parlare di HIFU, ma era molto interessato, quindi ho finito per istruirlo su di esso. Poi mi ha indirizzato al trattamento sul servizio sanitario nazionale", ha spiegato il 67enne del Suffolk.
"Mi è piaciuto il suono del trattamento in quanto sembrava l'opzione meno invasiva, a basso rischio. Il trattamento è finito in un giorno - sono entrato per prima cosa al mattino e sono uscito la sera. Non ho avuto alcun dolore , ma ha avuto bisogno di un catetere per cinque giorni, il che è stato un po' scomodo."Sono strettamente monitorato dal mio medico di famiglia e finora il cancro non è tornato".
Il lavoro è stato finanziato dal Medical Research Council e SonaCare Inc.
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Sono necessari ulteriori studi di follow-up per monitorare i progressi dei pazienti dopo dieci anni, nonché studi che confrontino direttamente l'HIFU con la chirurgia e la radioterapia.
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