糖心传媒

Ron received a cancer diagnosis the day before his 58th birthday. It all started with a prostate-specific antigen (PSA) test, a common blood test given to men to identify issues with their prostate. 鈥淚t wasn鈥檛 super high, but it was high enough that a biopsy was recommended,鈥� said Ron, a commercial real estate business owner in Lodi. 鈥淓verything progressed pretty quickly after I got my results. Within a month or two, I had to start making some choices and the options weren鈥檛 really appealing.鈥�

An avid runner, bicyclist and skier, Ron was worried that surgery or radiation to treat his prostate cancer would put his active lifestyle in jeopardy. But not treating his cancer could potentially shorten his life by decades.

Standard treatment, which includes surgery or radiation, can cause erectile dysfunction and incontinence, side effects that can last a lifetime. Prostate cancer is typically discovered later in life, when many men are less physically and sexually active, and the benefits of treatment can outweigh the risks of side effects. But for men as young as Ron, side effects can factor heavily into the treatment decision.

鈥淲e didn鈥檛 make a decision very quickly,鈥� said Yolanda, his wife of 34 years. Instead, they 糖心传媒ed treatment options and doctors. A friend recommended 糖心传媒, and suggested they see Geoffrey Sonn, MD, an assistant professor of urology.

鈥淒r. Sonn indicated that Stanford was looking into a new kind of focal therapy, where they treat just part of the prostate gland, instead of removing the entire gland, with better outcomes in terms of fewer negative side effects,鈥� said Ron. 鈥淪o that was appealing to me, obviously.鈥�

糖心传媒 offers听MRI-guided high-intensity focused ultrasound (HIFU) for the treatment of prostate cancer. With HIFU, ultrasound energy is aimed from outside of the body, and concentrated within a target deep inside the body. 鈥淭he technology is something akin to taking a magnifying lens and focusing sunlight onto a leaf鈥攜ou can basically destroy the tissue that鈥檚 at that target and the surrounding structures are left intact,鈥� said Pejman Ghanouni, MD, PhD, assistant professor of radiology. HIFU is possible at Stanford because of the merger of two technologies鈥擬RI and focused ultrasound. 鈥淲e can see the target on the MR scanner, and then use those real-time images with the patient on the table to plan the treatment and see where we want to aim the energy,鈥� he said.

HIFU for prostate cancer is only offered at a handful of centers in the United States, and it is not recommended for every patient. There are some men with small, non-aggressive cancers who benefit from no immediate treatment, just observation, said Sonn. Conversely, men with larger, particularly aggressive cancers may have better long-term outcomes from a robotic radical prostatectomy or internal or external radiation.

As Sonn explained, 鈥淗IFU gives us an intermediate step between no treatment and really aggressive treatment that can have lifelong side effects.鈥� It is ideally suited for a man with an intermediate grade prostate cancer that warrants treatment, but perhaps for whom removing the entire prostate is too aggressive, he said.

鈥淲hat we have found with HIFU is lower rates of erectile dysfunction, lower rates of urinary incontinence, quicker recovery and minimal pain,鈥� said Sonn. 鈥淭o be able to offer this treatment to a man in his 50s or 60s is very gratifying.鈥�

For Ron, traveling a few hours to Stanford meant receiving the most advanced standard of care available. 鈥淨uality of life was the most important thing,鈥� he said. 鈥淚鈥檓 lucky to have benefited from this cutting-edge technology.鈥�

On the day of the procedure, Ron recalls waking up as if nothing happened. 鈥淵olanda and I went out to dinner that night,鈥� he said. Having a catheter in place for seven days after the procedure was the most discomfort he experienced. 鈥淭he day the catheter came out, I started running again,鈥� said Ron. 鈥淚t was that easy. If it weren鈥檛 for Stanford, I don鈥檛 think I鈥檇 have the quality of life I鈥檝e had over the past year. I鈥檓 good as new, if not better than new.鈥�

Like many people who face a cancer diagnosis, Ron has a newfound appreciation for the simple things in life鈥攖he runs with his dogs, savoring good food. 鈥淣ext year, I turn 60,鈥� he said. 鈥淧eople tell me I look better than before. You start to take a little better care of yourself, appreciate what you have and what you may have lost.鈥�