Mehran Movassaghi, MD
High Intensity Focused Ultrasound for Prostate Cancer
Performed at ASC. It's a new(er) non-invasive radiation-free technology that uses ultrasound to ablate prostate tissue.
Couple things to note when doing these cases:
General anesthesia with an ETT. Surgeon wants paralysis because it is absolutely important that the patient does not move during the procedure. If the patient moves slightly, the rectum can be damaged with the ultrasound beams.
Total anesthesia time was about 1 hour and 45 minutes because there is a lot of set up in the room after the patient goes to sleep
No nitrous oxide. Nitrous oxide interferes with the ultrasound beams.
The patient will be positioned in right lateral decubitus all the way to the bottom edge of the bed. The reps have a special attachment for the table for the feet, and a special axillary roll that we used.
Pain after the procedure is mild. More discomfort from the Foley catheter that is left in place than pain from the procedure. Tylenol and Toradol are the preferred method of pain control in recovery.