What is HIFU,How it Works & Who’s the Best Patient for this Treatment – 158

HIFU (High-Intensity Focused Ultrasound) is one of the most talked-about focal therapies for prostate cancer. But is it right for you? In this episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Matthew Cooperberg (UCSF)—an internationally recognized expert in urology, epidemiology, and prostate cancer—to explore: • What HIFU is and how it works • Who the best candidates are (and who isn’t) • Why imaging and genomics matter more than technology choice • How focal therapy compares with surgery and radiation • Where prostate cancer treatment is heading in 2025 and beyond If you’re serious about understanding your options for prostate health, prostate cancer, and men’s health longevity, this episode is packed with evidence-based insights. 👉 View more at https://drgeo.com/ ⏱️ CHAPTERS 00:00 – Intro: HIFU & focal therapy basics 02:00 – Why podcasting creates expert access 03:00 – AUA 2025: focal therapy’s rise04:10 – Candidate selection 05:10 – Defining focal therapy + imaging advances 06:25 – Why recurrence happens after focal therapy 07:40 – Genomics (Decipher) & treatment outcomes 09:30 – Lifestyle + cancer microenvironment 11:00 – Salvage therapy after focal vs. radiation 14:00 – Cryotherapy vs. HIFU evolution 16:00 – Imaging innovations (MRI fusion, RSI, spectroscopy) 17:00 – IRE: new tech for apical tumors 18:00 – Other modalities (TULSA, aquablation, focal radiation) 22:00 – Counseling: matching treatment to patients 26:30 – UCSF program + AI’s role in focal therapy 33:00 – HIFU probe mechanics & treatment limits 35:00 – Should Gleason 8+ patients get HIFU? 40:30 – PSA testing in midlife (45–55) 44:00 – Spread vs. growth: what really matters 47:30 – Dr. Cooperberg’s final advice 🌱 Partner Offers ProLon 5-Day Fasting Mimicking Diet → https://bit.ly/3TVehAxAG1 by Athletic Greens → https://bit.ly/3mA2tVV 💪 Exclusive Membership Unlock curated transcripts, detailed show notes, expert resources, and perks.Join here → https://drgeo.com/membership 📌 Connect with Dr. Geo 📺 YouTube → Dr. Geo Prostate Podcast 🎧 Podcast Episodes → https://dr-geo-prostate-podcast.capti... 🛒 Supplements → XY Wellness | Mr. Happy 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🌐 Website → https://bit.ly/43khht0 📣 Hashtags #DrGeoProstatePodcast #ProstateCancer #ProstateHealth #MensHealth #HIFU #FocalTherapy #IntegrativeUrology ⚠️ Disclaimer This video is for educational purposes only and not medical advice. Always consult with a qualified healthcare provider. Geovanni Espinosa, N.D., assumes no liability for outcomes based on this content.