High-intensity focused ultrasound in small renal masses.
High-intensity focused ultrasound (HIFU) competes with radiofrequency and cryotherapy for the treatment of small renal masses as a third option among ablative approaches. As an emerging technique, its possible percutaneous or laparoscopic application, low discomfort to the patient and the absence of complications make this technology attractive for the management of small renal masses. This manuscript will focus on the principles, basic research and clinical applications of HIFU in small renal masses, reviewing the present literature. Therapeutic results are controversial and from an clinical view, HIFU must be considered a technique under investigation at present time. Further research is needed to settle its real indications in the management of small renal masses; maybe technical improvements will certainly facilitate its use in the management of small renal masses in the near future.
Rubio Briones
Jose
J
Servicio de Urología, Instituto Valenciano de Oncología, C/Beltrán Báguena 8, 46009 Valencia, Spain. jrubio@fivo.org
Collado Serra
Argimiro
A
Gómez-Ferrer Lozano
Alvaro
A
Casanova Ramón-Borja
Juan
J
Iborra Juan
Inmaculada
I
Solsona Narbón
Eduardo
E