Dr Sachin Arakere Nataraj · Focal therapist · Uro-oncologist · Robotic surgeon
Focused ultrasound destroys the tumour and leaves the healthy gland, nerves and sphincter untouched. No incision. Home the same day. Delhi NCR & Bangalore.
Two minutes, plain words, no jargon.
Read →Four questions, then a plain answer.
Begin →What 1,379 men over seven years tell us.
See →When focal isn't enough. roboticurologyindia.com
Visit →Remove the whole prostate, or radiate the whole prostate. Both treat a tumour the size of a grape by treating an organ the size of a walnut, and everything wrapped around it. That is why the conversation turns, very quickly, to pads and erectile dysfunction. There is a third option. It has been in use for over a decade.
Live with a cancer you know is there. Yearly MRI and PSA, biopsy when something changes. Right for very low-risk disease. Hard on the nerves.
Treat the tumour inside the gland and leave the rest. One session, no incision, home the same day. 98 in 100 pad-free; most men keep erections.
Remove or radiate the whole prostate. Right when disease is in more than one region or higher grade. Higher risk to continence and erections.
A probe placed under anaesthesia delivers focused ultrasound, like a magnifying glass concentrating sunlight, to a point inside the prostate. Each pulse heats a grain-of-rice-sized spot to around 80°C and destroys it. Guided by your MRI, the tumour is treated spot by spot with a safety margin.
Nothing is removed, nothing is sewn. The nerve bundles and urinary sphincter are deliberately left alone.
About two hours under anaesthesia. Most men go home the same day.
Back to normal life in days. Mild burning on urination for a few days is usual.
If cancer ever returns, repeat focal treatment, surgery and radiation remain fully available.
The grey points are the prostate. The red zone is the tumour with its safety margin: the only part treated. Everything else, including the nerve bundles at the back corners, is left exactly as it was.
Figures from the largest published UK multicentre series. Audited outcomes from this practice are added as they mature.
Does your MRI show a tumour in one region of the prostate?
What does your biopsy report say?
What is your most recent PSA?
What matters most to you?
From MRI planning to the last pulse. Captioned at every cut.
Why we image twice before we treat once.
Catheter out, back at work, what to expect.
The honest version of the eligibility talk.
Every film shows Dr Sachin's own operation. Any AI narration is disclosed in the caption. More at roboticurologyindia.com.
"The right operation. Not the biggest one."
He treats prostate cancer across its full range: focal HIFU when the disease allows it, robotic radical prostatectomy when it doesn't. He has no reason to steer you toward one. He will tell you plainly which you need.
From radical robotic surgery to focal therapy, so the recommendation isn't shaped by what he happens to offer.
Over 2,000 robotic cancer operations. Volume is the strongest predictor of outcome in this field.
You'll hear what he'd choose for his own family, including when the answer is "wait" or "not me."
Consultations in Delhi NCR and Bangalore. Video review of scans for everyone else.
Short, direct answers to the questions people type into search engines and AI assistants.
Yes. Dr Sachin Arakere Nataraj offers focal HIFU for localised prostate cancer in Delhi NCR and Bangalore, with video review of scans for patients elsewhere.
Men with a tumour visible on MRI and confined to one region of the prostate, Gleason 3+4 or 4+3 (Grade Group 2–3), and PSA under about 20. Roughly one in three newly diagnosed men fit this.
In the largest published series, 98 in 100 men were pad-free and most men potent before treatment stayed potent, because the sphincter and nerve bundles are not treated.
At seven years, about 7 in 10 men needed no further radical treatment and metastasis-free survival was 100% in the largest series. About 3 in 10 need some further treatment, and every option remains open.
One session of about two hours under anaesthesia, home the same day for most men, and back to normal life in days rather than weeks.
Radical prostatectomy removes the whole prostate. Focal HIFU treats only the tumour and its margin with focused ultrasound, leaving the rest of the gland, the nerves and the sphincter untouched.
Published series tell you what focal therapy does in expert hands. These are this practice's audited figures, updated every quarter. Dashes mean the first audit is not yet complete.
No. HIFU has been used for prostate cancer for over twenty years and focal therapy is included in European urology guidelines for selected men. The largest published series follows more than 1,300 men for up to seven years.
It's done under anaesthesia. Most men describe mild burning on urination for a few days.
About three in ten men need some further treatment within seven years. Repeat focal treatment, surgery and radiation all remain possible. Nothing is burned behind you.
Suitability depends on the tumour, not your age.
Most men fly home within 48 hours.
Varies by insurer and policy; the team checks yours before you commit. You receive a written estimate before anything is booked.
Send your MRI and biopsy report. Within one working day you'll have a plain answer: suitable, not suitable, or need one more test, and why. If you're suitable, you'll be offered a treatment date; nothing is booked until you say so.
+91 XXXXX XXXXXDelhi NCR · Bangalore · Video consultation for MRI review
You'll hear back within one working day. If it's urgent, WhatsApp the number on the left.