Marc Laniado discusses focal therapy and robotic prostatectomy as treatment options

Marc Laniado is one of very few surgeons worldwide who can offer both HIFU focal therapy and Robotic prostatectomy (RALP) as treatment options for his patients.
Furthe,r he may be unique in using Retzius sparing techniques during RALP surgery to minimise side effects of prostatectomy

[@stephenm8919]

I recently had HIFU carried out by Mr Laniado and the results have been excellent. I made a full recovery within in a week. In treating prostate cancer no single treatment option "ticks all the boxes." They all have their risks and benefits. We are all different - and it is important to consider the options open to you and then make a decision you feel comfortable with. I have no doubt that HIFU has been the right choice for me and I have been very pleased to have Mr Laniado as my Urologist.
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[@janetw9430]

Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you
Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with
estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3.
9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left
peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal
on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion
is noted. PSA is 4.86.

[@daisuke6072]

Problem with focal therapy is possibly hidden cancer in other parts of the gland or LN, also one is effectively on active surveillance thereafter due to need for continuing PSA, MRI and biopsy checks.

[@JaniceCharters]

Is Retsius sparing the same as nerve sparing (as done at UCLH)?