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Comment by bonsai_spool | Hacker News Reader

> Fun fact: using this ultrasound for prostate cancer treatment reduces the risk of erectile disfunction

I’m not aware of strong evidence in this area (not saying you’re incorrect).

For the liver indications, several elite radiology departments have had very poor outcomes with their patients, despite the strong public data. I would not, with my own prostate, try a new technology until at least a decade out, at least.

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Urinary and erectile function are a major issue with partial and radical prostatectomy. These ultrasound treatments are showing significant improvements in both areas.

This technology is also now used to treat non-cancerous prostate enlargement (BPH).

> Urinary and erectile function are a major issue with partial and radical prostatectomy

There are other options besides prostatectomy or the untested histotripsy.

True, but currently prostatectomy is the most common intervention and second is radiotherapy which as mentioned in a comment above is a very expensive alternative with known side effects.

Histotripsy is early in its clinical life but I wouldn't say untested.

I’m not sure why we’re plugging a brand new entity when PAE is already in guidelines.

People who aren’t in medicine are very susceptible to advertising - this is why I’m writing so stridently

Here is a trial (2022): https://pubmed.ncbi.nlm.nih.gov/35714666/

And a review: https://pubmed.ncbi.nlm.nih.gov/36686753/

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