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Do I Qualify for HIFU?

HIFU with the Sonablate® 500 has many proven advantages over traditional treatment modalities for prostate disease. To find out if you qualify please email our medical team or fill out the form below.

Please make sure you provide a good description of your medical history including:

  • Current and previous PSA
  • Previous colon surgery or other significant surgery
  • Date of prostate biopsy
  • Gleason score
  • Prostate size/volume (grams or cc)
  • Prostate dimensions (Height, Width and Length usually from Ultrasound Report)
  • Any treatment thus far
  • Other medical information such as medications, allergies ( latex or drugs), blood thinners, etc.
  • Reasons that you may not be able to have a spinal or general anesthetic

or call 1-877-787-5906 to speak with someone today to find out if you qualify.

Email Form:
Please note that fields below marked with an * are mandatory.

*Email Information requiredInvalid format.
*First Name Information requiredInvalid format.Information requiredInvalid format.
*Last Name Information requiredInvalid format.Information required
*Phone Number Information requiredInvalid format.Invalid format. Alternate Phone Number eg. Cell Invalid format.
A
Address

*Address Information required *City Information required
*Province/State Information required *Country Information required
*Gleason Score Information requiredInvalid format.
Please make a selection.
*Previous PSA Invalid format.Information required *Current PSA Invalid format.Information required
*Size of Prostate (in grams or cc) Information required
*Prostate Dimensions Invalid format.Information required 
*Date of Biopsy (dd/mm/yyyy) Information requiredInvalid format.

 

 

 
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