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Stage 4

In stage 4 prostate cancer, cancer cells have spread from the prostate to nearby tissues, organs, lymph nodes and/or bones. Symptoms may include urinary problems, erectile dysfunction, fatigue, unexplained weight loss, or pain in the back, hips and thighs. The prognosis for stage 4 prostate cancer varies based on how far into the body cancer cells have spread.

Stage 4 prostate cancer is characterized by:

  • Cancer cells have spread to other tissues or organs
  • Cancer cells have spread to lymph nodes
  • Cancer cells have spread to bones
  • PSA levels and Gleason scores can vary

Treatment options for stage 4 may include:

The prognosis for men with stage 4 depends on how the cancer has progressed through the body. In cases where the cancer has spread to distant areas, five-year survival rates decrease to 29%, according to the American Cancer Society.

Prostate cancer treatment comparison

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Meet a Nurse: Karen

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Karen Cornett is a Registered Nurse who is committed to the highest level of patient quality of care and patient advocacy. She has worked for International HIFU since 2011, and typically travels to our Puerto Vallarta, MX and Nassau, Bahamas International Treatment Centers.
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Why Sonablate?


The Sonablate system incorporates customized treatment and safety technologies in an effort to strike a balance that has been difficult to achieve in prostate cancer treatment—increasing disease control capabilities while decreasing quality-of-life side effect risks.

A Sonablate HIFU physician can completely customize a patient's treatment plan based on real-time tissue response, tissue density and location of vital structures. Competitive devices are limited to three pre-set power levels: primary, repeat HIFU and salvage (post radiation treatment), no patient receives a customized treatment based on their personal anatomy.

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