The Focal Therapy Clinic

The initial Zoom consultation, which was for a 2nd opinion, was very precise in reviewing the prognosis and treatment plan. Whilst wanting to discuss potential treatment options the consultant advised that there was only one recommended treatment based on my scans. The consultant advised that my NHS biopsy was not telling the full story when cross checked with the MRI scan. His recommendation was a nerve sparing rarp prostatectomy sooner rather than later. A 2nd face to face consultation detailed why this was the recommendation and the structure of the surgery which was then scheduled 2 weeks later. Following a successful procedure the histology proved the consultant was correct in his diagnosis in that the cancer was worse than the NHS biopsy and prognosis reports. In fact the cancer was just breaking out and additional bladder work was required showing the cancer was really caught just in time before spread. The knowledge and skill of the surgeon was key to providing the right advice and surgical outcome. The first PSA was 0.01 but due to the breakout the possibilities of any future reoccurrence remained. Surgical recovery has gone to plan with no incontinence issues and going positive direction on ED recovery.

The hospital looked very tired, carpets need a good clean. Whilst we were waiting a technician was working in the ceiling moving tiles and leaving dust and debris everywhere. My partner ended up dusting the chairs.

I have received two HIFU procedures for bilateral prostate cancer in 2025. My one year multi parametric MRI shows no further lesions in prostate or adjacent tissue or bone and therefore an excellent outcome. I chose HIFU to minimise other damage and allow for possible future HIFU treatments if there is a recurrence that option may not be available with other treatments like radiotherapy where second rounds of treatment have fewer options. Although it seems HIFU might be a viable solution if cancer returns after radiotherapy. The decision paths through prostate cancer treatment are often simplified to surgery, or radiotheraphy with steroids. There are many other options with some helpful resources from cancer charities to explain them, however the best help by far is a discussion with a highly experienced specialist. I have been lucky enough to have an excellent specialist and first rate treatment by the Focal team.

My experience was excellent. The communication was good as I was kept informed about the procedure step by step and even after the procedure. There were no surprises or unexpected.

….on the 26/06/2026 I had a Nanoknife procedure at the Harborne Hospital Birmighsm I could not have chosen a better route of care - from the Focal Therapy webinar that I first attended on the 24/02/26 - snd through the workup to determine my suitability during the months of March April & May - it was faultless!

Alan Doherty provided a detailed explanation of the treatment and delivered to me a great deal of confidence in his decision to put me forward for the treatment. An excellent consultant and I would highly recommend him to any concerned patient.

My consultations were online - worked efficiently and well and wait times were very short. Easy to arrange and flexible. I had a MRI scan in London - again there was a minimal wait and I was pleased to have the highest quality scan, and specialist radiologist, available which instilled confidence. Very satisfied overall and would certainly recommend.

Ultimately didn’t go ahead with treatment due to location

I met with the consultant who reviewed my case and provided me with a second opinion on what my options were. Essentially i met the criteria for focal therapy and will decide after a scan in London whether action is required. I felt far more comfortable with the process and potentially avoiding drastic surgery.

The Hospital was clean and modern and my room was very nice. I arrived at 7.30am, had my operation at 2 pm and went home at 7pm. The staff were lovely and the whole process was very smooth and free from anxiety, fear and Pain. My catheter was removed 6 days later and I had no side effects.