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For Men Who Don't Want to Settle

Cure Prostate Cancer.
Keep Your Life Intact.

Prostate cancer doesn't have to mean diapers, impotence, or months of recovery. We offer a precise, MRI-guided alternative to surgery and radiation—one that eliminates cancer while preserving sexual function, bladder control, and dignity.

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Learn About TULSA-PROTM

Trusted by patients from Scottsdale and Phoenix, Arizona, across the United States, and internationally.

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The Cure Shouldn't cost you your manhood.

The cure shouldn't cost you your manhood.

Most men are told they have only two real choices: surgery or radiation. And while those treatments can remove cancer, they often leave something behind—loss of bladder control, erectile dysfunction, lingering fatigue, and the quiet grief of not feeling like yourself anymore.

You hear it in the exam room pauses. In the questions men don't always ask out loud. Will I need pads? Will intimacy ever feel normal again? Did I just trade cancer for a different kind of loss?

For too long, men have been forced to accept these side effects as "the price of survival." That assumption is outdated. And unnecessary.

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Cancer treatment with quality of life preserved

What life looks like after TULSA-PROTM

  • Cancer treated with confidence—and clarity
  • Sexual function preserved
  • Bladder control intact
  • Minimal downtime, fast recovery
  • Peace of mind instead of constant worry
  • Freedom to travel, work, exercise, and live normally again

Patients don't just say they're cancer-free.

They say things like, "I got my life back."

How the TULSA Procedure Works

A precise, four-step process guided by real-time MRI imaging

The TULSA-PROTM, or Transurethral Ultrasound Ablation Procedure, is a minimally invasive procedure that uses directional ultrasound to ablate (destroy) targeted prostate tissue. The TULSA-PROTM system utilizes real-time MRI imaging and guidance to safely achieve precision therapy without collateral damage, preserving functional abilities while achieving cure.

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Device Insertion

The ultrasound applicator is inserted into the urethra, along with a cooling device to protect surrounding tissue.

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MRI Visualization

Real-time MRI provides clear views of the prostate and critical structures for precise planning.

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Custom Planning

The physician customizes treatment boundaries based on anatomy and areas to treat or spare.

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Precision Ablation

The system delivers therapeutic ultrasound within prescribed boundaries while monitoring in real-time.

 

 

Why "Inside-Out" Ablation Matters

The neurovascular bundles (NVBs) surrounding the prostate control reproductive and urinary functions. Damage to these NVBs can result in erectile dysfunction or incontinence.

The TULSA Procedure ablates the prostate from the "inside-out"—from inside the urethra heating outwards to the edge of the prostate—avoiding direct contact with the NVBs and helping to preserve men's functional abilities.

Most Experienced TULSA-PROTM Urologist in the World

  1. Most TULSA Procedures by a Urological Surgeon Worldwide
  2. First in Arizona to perform TULSA-PROTM

Rotating Ultrasound

Continuous pattern reduces missed spots

Automated Execution

Minimizes risk of human error

Real-Time Monitoring

Adjustable for precision control

The Benefits That Matter Most

What matters most to our patients—front and center.

Preserve Who You Are

This treatment is designed to protect sexual function and bladder control—not as an afterthought, but as a priority.

Confidence in the Outcome

Real-time MRI guidance means precision you can see, measure, and trust.

Faster Return to Life

No hospital stay. Minimal downtime. Many patients resume normal activities within days.

Key Features

  • MRI-Guided Accuracy

    Treatment is monitored live, adjusting in real time for exact tissue control.

  • Minimally Invasive

    No incisions, no radiation exposure.

  • Whole-Gland Expertise

    Particularly effective for men seeking definitive cancer control.

  • Outpatient Procedure

    Go home the same day.

  • Proven Track Record

    Backed by clinical studies and real-world results.

  • Customizable Treatment

    From focal to whole-gland ablation based on your needs.

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Proven Clinical Outcomes

Real results from clinical studies

 

Focal Ablation Results:

98%

of men preserved erectile function at 1-2 years. 

 

 

Focal Ablation Results:

98%

of men reported preservation of continence and were pad-free at 1-2 years.

Whole-Gland Results:

76%

previously potient patients reported. 

Whole-Gland Results:

100%

of men reported continence and no men were incontinent at 3 years. 

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1. Lumiani, et al. “Single center retrospective analysis of fifty-two prostate cancer patients with customized MR-guided transurethral ultrasound ablation (TULSA)” Urologic Oncology (2021)
2. Klotz, et al. “MP46-03-Pivotal trial of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer: Three-year follow-up”. The Journal of Urology Suppl (2021)

Frequently Asked Questions

Simple. Clear. Respectful.

What is TULSA-PRO treatment?

TULSA-PRO is an MRI-guided ultrasound therapy that precisely ablates prostate tissue without surgery or radiation.

Who is a candidate for TULSA-PRO?

Men with localized prostate cancer seeking definitive treatment with minimal side effects may be candidates after evaluation.

How long is recovery?

Yes, temporarily. Most patients describe it as manageable and short-term.Most patients resume light activities within days and normal routines shortly after.

Will this affect sexual function?

Preservation of sexual function is a primary advantage, and outcomes are significantly better than surgery or radiation. Clinical studies show 98% of men undergoing focal ablation preserved erectile function.

How is TULSA different from surgery or radiation?

Unlike surgery, TULSA is incision-free and minimally invasive. Unlike radiation, it delivers a one-time treatment with real-time MRI monitoring. The inside-out approach protects surrounding structures for better functional outcomes.

What happens during the procedure?

The ultrasound applicator is inserted through the urethra, and a cooling device protects surrounding tissue. The physician uses MRI to plan treatment, then the system delivers therapeutic ultrasound while continuously monitoring.

Your Next Step

Don't settle for outdated options. If you've been told surgery or radiation are your only paths forward, it's time for a second opinion—one grounded in precision, experience, and respect for your life after cancer.