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I had HIFU almost 2 years ago, I didn't have any troubles at all, a bit of a slow erection at first, but I have forgotten that.
The case of scar tissue in the urethra is because of the doctor, this is where experience counts. The gland itself is left as scar tissue and so that makes me wonder if there was cancer left...could it travel outside the gland, through hard scar tissue? doesn't seem likely to me, and so I am even more happy to have been told about HIFU.
I used Dr. Scionti of nyhifucenter.com and I haven't found anyone who doesn't rave about how he is the best. He's treated over 1,000 men in the course of 6 years and is always there to answer my questions.