For Men Who Don't Want to Settle

Treat the Cancer.
Not Everything Else.

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 ablates targeted prostate tissue while protecting the structures that support sexual function, bladder control, and dignity.

Book a Private Consultation
Get Dr. Hong's Guide

250+ procedures performed by Dr. Y. Mark Hong - one of the most experienced TULSA-PRO surgeons in the United States, and the first to perform the procedure in Arizona. 

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Treatement Shouldn't Cost your Manhood.

The life you want afterwards should be part of the treatment plan

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 That assumption is outdated.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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TULSA-PRO: Treating the Cancer While Protecting Your Quality of Life

What TULSA-PRO is designed to protect

  • A clear plan for treating your cancer, built on your own MRI
  • Sexual function: treatment is planned to avoid the nerves that control erections
  •  Bladder control: the inside-out approach is designed to protect the structures that support it
  • Your time: an outpatient procedure, with most men home the same day
  • Peace of mind: knowing exactly what was treated, with follow-up to keep watching
  • Getting back to life: many men return to work, travel and exercise within weeks

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-PRO, or Transurethral Ultrasound Ablation Procedure, is a minimally invasive procedure that uses directional ultrasound to ablate (destroy) targeted prostate tissue. The TULSA-PRO 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.

A World-First Milestone

  1. First urologist to perform 250+ TULSA Procedures independently, without radiologist involvement. 
  2. First in Arizona to perform TULSA-PRO

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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The TULSA-PRO Program at
Integrative Urology

 

Who This Is For

Men with localized prostate cancer who want definitive treatment without sacrificing quality of life, and who value expert-led, personalized care over standard protocols.

What You Get

  • World-leading whole-gland TULSA-PRO treatment
  • Direct care from Dr. Y. Mark Hong—no substitutes
  • Comprehensive MRI-guided planning and execution
  • Transparent education about all treatment options
  • Concierge-level support before, during, and after

What Makes This Different

  • #1 Global Experience in Whole-Gland TULSA
  • Harvard & Stanford–Trained Urologist
  • 250+ Procedures Performed Personally
  • Single-Physician Precision (No Dual Operators or Hand-Offs)
  • Functional Preservation Is the Goal, Not a Bonus

Proven Clinical Outcomes

Real results from clinical studies

 

Focal Ablation Results:

98%

of men with preserved erectile function at 1-2 years. 

 

 

Focal Ablation Results:

98%

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

Whole-Gland Results:

76%

of previously potent men with preserved erections. 

Whole-Gland Results:

99%

of men reported continence without pad usage at 3 years. 

Screenshot 2026-02-19 at 2.17.41 PM
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)

Common Concerns

Answered Honestly

What is the TULSA Procedure (TULSA-PRO)?

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.

To help determine early candidacy, take our TULSA Candidacy Assessment and our team will reach out personally.

See If I'm a Candidate

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, the TULSA Procedure 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 Path to Precision: from Candidate to Confident

The most important step is ensuring the right fit.

Discover our straightforward 5-step process designed to confirm your eligibility and guide you safely through the TULSA Procedure. 

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Request Consultation

Meet Dr. Hong in-person or Televisit (where applicable)

 

Request a Consultation

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Submit Records

Help us assess your candidacy.

 

 

Submit Records Here

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Confirm Candidacy

Detailed MRI and imaging review

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Treat

Same Day outpatient procedure

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Recover

Return to normal life

No confusion. No pressure. No surprises.

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.