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Is the TULSA Procedure Right for You? A Candidacy Guide

Introduction

Deciding on a prostate cancer treatment is a significant decision. The TULSA Procedure (Transurethral Ultrasound Ablation) is a minimally invasive, radiation-free, and incision-free outpatient procedure that offers a high degree of precision and preservation of quality of life. This guide will help you understand if you are a potential candidate for this advanced treatment.

What is the TULSA Procedure?

The TULSA Procedure is a cutting-edge, MRI-guided treatment that uses directional ultrasound to ablate, or destroy, targeted prostate tissue. It is a customizable and predictable procedure that actively protects the urethra and rectum, helping to preserve urinary and sexual function. The entire process is performed in a single session, and patients typically return home the same day.

Who is an Ideal Candidate for the TULSA Procedure?

Ideal candidates for the TULSA Procedure are men who have localized prostate cancer and meet specific clinical criteria. The procedure is most effective for patients with low- to intermediate-risk disease. Below is a summary of the key criteria for candidacy.

Criteria | Description

• Diagnosis Localized low- to intermediate-risk prostate cancer.
• Tumor Visibility MRI-visible tumors, particularly those confined to one side of the prostate (unilateral disease).
• Gleason Score Gleason grade group 2 or 3.
• PSA Level Prostate-Specific Antigen (PSA) level of 20 ng/mL or less.
• Tumor Location Disease located within approximately 3 cm of the urethral probe.
• General Health Must be able to undergo an MRI and general anesthesia.

Who is Not a Suitable Candidate?

The TULSA Procedure is not suitable for everyone. Patients with the following conditions are generally not considered candidates for this treatment:

• Large Prostatic Calcifications: Calcifications larger than 3 mm can interfere with the ultrasound energy. Prior Prostate Implants: Previous implants can complicate the procedure.
• Urethral Strictures: A narrowing of the urethra can prevent the insertion of the treatment device.
• Tumor Proximity to Critical Structures: Tumors located too close to the urinary sphincter or neurovascular bundles may be difficult to target accurately without risking damage.
• Metastatic Cancer: The TULSA Procedure is intended for localized prostate cancer and is not for cancer that has spread to other parts of the body.

Key Benefits of the TULSA Procedure

The TULSA Procedure offers numerous benefits compared to traditional treatments like surgery and radiation:

• Minimally Invasive: No incisions or radiation are involved.
• High Precision: Real-time MRI guidance allows for precise targeting of diseased tissue.
• Preservation of Function: The procedure is designed to protect the nerves and muscles that control urinary and sexual function, resulting in significantly lower rates of incontinence and erectile dysfunction.
• Fast Recovery: As an outpatient procedure, patients can return to their daily activities quickly.
• Customizable Treatment: The ablation can be tailored to the patient's specific anatomy and disease, with options for whole-gland, partial (hemi-ablation), or nerve-sparing approaches.

The TULSA Procedure: A Step-by-Step Overview

The TULSA Procedure is a well-defined, four-step process:

• Preparation: The patient is comfortably sedated, and the treatment applicators are put into place.
• Planning: The physician uses high-resolution MRI to map out the precise areas of the prostate to be treated.
• Delivery: The system automatically delivers the ultrasound energy according to the physician's plan, with real-time temperature monitoring to ensure safety and accuracy.
• Confirmation: Immediately following the ablation, the physician uses MRI to confirm that the targeted tissue has been successfully treated.

Conclusion

The TULSA Procedure is a highly effective and safe treatment for localized prostate cancer, offering a minimally invasive option with a low risk of side effects. If you meet the candidacy criteria outlined in this guide, the TULSA Procedure may be an excellent choice for you. We encourage you to discuss this option with your urologist to determine the best course of treatment for your individual needs.

References

[1] Medige USA. "TULSA Procedure - TULSA-PRO for Prostate Cancer, Scottsdale, Phoenix." [https://medigeusa.com/tulsa-procedure/](https://medigeusa.com/tulsa-procedure/)

[2] Scionti Prostate Center. "Tulsa Pro Prostate Cancer Treatment." [https://www.sciontiprostatecenter.com/tulsa-pro-prostate-cancer-treatment](https://www.sciontiprostatecenter.com/tulsa-pro-prostate-cancer-treatment)

[3] Mayo Clinic. "A Customized Registration for TULSA-PRO Ablation." [https://www.mayo.edu/research/clinical-trials/cls-20526190](https://www.mayo.edu/research/clinical-trials/cls-20526190)

[4] Resofus Alomar. "Am I a candidate for treatment with TULSA PRO?" [https://www.resofusalomar.es/en/urology/am-i-candidate-for-resofus-tulsa-pro/](https://www.resofusalomar.es/en/urology/am-i-candidate-for-resofus-tulsa-pro/)