A Patient Experience: Treating Aggressive Cancer With Tulsa
Matt Farmer is an experienced hunter he knows to aim for his target before he shoots. So when his urologist suggested having a second 12-needle biopsy to attempt to find cancer in his prostate, Matt refused. In his late-50s at the time, his PSA levels had been climbing for a couple of years, and his doctor was concerned it might be cancer, suggesting an initial biopsy. None of the 12 samples taken found cancer, but Matt wasnt going to…
Using the Best MRI Tech for TULSA
How Long Is Recovery After Tulsa
When it comes to prostate cancer treatments, TULSA-PRO is arguably one of the most convenient options available today. In fact, TULSA-PRO requires no incisions, can be performed as an outpatient procedure and allows patients to resume the majority of their regular activities within just a few days. At Kasraeian Urology in Jacksonville, FL, board-certified urologists Dr. Ahmad Kasraeian and Dr. Ali Kasraeian are committed to offering cutting-edge prostate cancer treatment options to help men restore, preserve, and protect their overall health and sexual function. Learn more here about TULSA-PRO for prostate cancer, including how it works, what to expect after the TULSA Procedure, and how long your recovery period may last.
Learn More With Our Frequently Asked Questions
Your health is important and so is getting answers to the questions you have. We are here to give you the information that will help you make the right decisions for yourself.
If you have questions that are not answered on this page or the rest of this site please reach out to us on our Contact Page.
What Is The Tulsa Procedure
The word TULSA stands for Transurethral Ultrasound Ablation. It is a minimally invasive procedure that uses directional ultrasound to produce very high temperatures to ablate targeted prostate tissue.
The procedure is performed in a Magnetic Resonance Imaging suite and uses the TULSA-PRO® system to ablate prostate tissue. The physician can see the prostate at all times throughout the procedure. The procedure combines real-time MRI with robotically-driven directional thermal ultrasound to deliver predictable, physician-prescribed ablation of whole-gland or partial prostate tissue.
The TULSA Procedure is radiation-free, incision-free and FDA cleared. The physician can customize the procedure depending on patients needs, conditions and desired functional outcomes.
What Is An Mri
Magnetic Resonance Imaging utilizes strong magnetic fields, magnetic field gradients, and radio waves to generate detailed images of the bodys organs and tissues. Todays advanced technologies have increased the quality of the images and the accuracy of detecting where the cancer is located. MRIs can produce 3D visualization that can be viewed from different angles.
MRIs not only provide information about the prevalence and location of cancer but are also used to monitor progression and treatment response. Its common for MRIs to be combined with other prostate cancer diagnosis procedures such as a biopsy.
Don’t Miss: How Do You Get An Enlarged Prostate
Tulsa Stands For Transurethral Ultrasound Ablation
- The term transurethral means âthrough the urethra.â
- Ablation means the âremoval of bodily tissueâ .
- Focal treatment means that the treatment limited to a precisely demarcated target area.
In the case of larger or multiple prostate tumors, the treatment may involve the removal of one-quarter of the prostate or one-half of the prostate . If a patient also suffers from benign prostatic hyperplasia , the scope of the treatment can be extended to include the excessive tissue growth so as to eliminate the symptoms associated with BPH.
The costs for the TULSA-PRO therapy including the preliminary examinations are around 20.000 EUR .
Quadrant Ablation of the Prostate
How Does The Tulsa Procedure Work
The TULSA Procedure, also known as TULSA-PRO, is a revolutionary treatment option that aims to ablate diseased or enlarged prostate tissue for men with prostate cancer, BPH, and other prostate conditions. During TULSA-PRO, which is performed using general anesthesia in an MRI suite, Dr. Kasraeian will utilize a combination of live imaging studies and advanced technology to locate and define the areas of tissue that will be ablated. A thin ultrasound applicator is inserted transurethrally to deliver ultrasound energy to the prostate. Additional cooling devices are used to prevent damage to nearby tissues and structures. Finally, the TULSA-PRO system precisely ablates the prostatic tissue defined by Dr. Kasraeian via MRI.
Read Also: Can Prostatitis Cause Elevated Psa Levels
Is There Any Downtime After Tulsa
In almost all cases, patients are discharged almost immediately following their procedure to recover at home. Based on Dr. Kasraeians recommendations and the nature of the case, patients may require antibiotics, anti-inflammatories, and/or pain medication. However, most men find that discomfort after TULSA-PRO is mild and temporary. Generally speaking, patients should plan to take about 3 5 days off work after a TULSA Procedure. Within a few days, most men feel ready and able to resume light activities, including desk work. It may take up to 2 3 months for bowel and urinary function to return to the patients normal baseline after TULSA-PRO.
Whats The Difference Between Tulsa
HALO Diagnostics is proud to now offer TULSA-PRO® as a treatment for prostate cancer and BPH. Dr. Ara Karamanian, head of HALO Dxs Prostate Program, performs the procedure for the Prostate Laser Center, a HALO Dx company.
For those with prostate cancer or benign prostatic hyperplasia , TULSA-PRO® and Laser Focal Therapy may both be relevant treatment options. However, every man is different, and so are their prostate concerns. Its always best to do your research and talk with your doctor to find a treatment thats right for you.
|Precise ablation near critical structures|
|Repeatable & leaves options open for other treatment later on if needed|
Dr. Ara Karamanian, a board-certified vascular and interventional radiologist and diagnostic radiologist, performs both procedures in an outpatient setting utilizing a state-of-the-art 3T MRI suite. The MR imaging provides a multi-dimensional view of the prostate in real-time, as well as constant thermal feedback during treatment. This allows Dr. Karamanian to constantly monitor the temperature of ablation areas and boundaries.
Don’t Miss: What Does Pt3a Mean In Prostate Cancer
Broader Than Focal Less Than Total
TULSA-PRO is a customizable, predictable, and incision-free procedure that allows the doctor to tailor the ablation to each patient.
Directional Thermal Ultrasound
Closed-Loop Temperature Feedback
Transurethral ultrasound ablation can more easily cover a wider area than laser focal therapy / focal laser ablation . For patients who have a relatively larger cancer, or somewhat diffuse cancer within the prostate, TULSA-PRO can cover almost the entire prostate gland in many patients.
The Accuracy Of An Mri In Diagnosing Prostate Cancer
According to a study by GLOBOCAN, an estimated 268,490 males in the United States will receive a prostate cancer diagnosis in 2022. It is the second most common type of cancer in men next to colorectal cancer, and the second leading cause of cancer death in the male population next to lung cancer.
The priority in diagnosing prostate cancer is to accurately assess the progression of the disease and to determine the appropriate treatment. An accurate assessment allows doctors to characterize the risk of progression and avoid both undertreatment and overtreatment.
Unnecessary treatment for males at low risk of progression can lead to side effects that can greatly impact their quality of life, including erectile dysfunction and incontinence. On the contrary, undertreatment leads to mismanagement of the disease and further complications.
Read Also: Can Prostatitis Cause Thigh Pain
How Prostate Cancer Is Diagnosed
Doctors use various procedures to determine whether prostate cancer is present, including:
- Magnetic Resonance Imaging Scan
- Prostate Biopsy
The goal is to identify how aggressive the cancer is, how large it is, whether it has spread into other areas, and to assess the patients overall condition. Diagnosing prostate cancer involves multiple procedures to get the most accurate picture possible.
In this article, we focus on the role of an MRI scan in diagnosing prostate cancer.
Profound Medical Announces First Patients Treated In Prospective Randomized Clinical Trial Comparing The Tulsa Procedure To Radical Prostatectomy
TORONTO, Jan. 18, 2022 — Profound Medical Corp. , a commercial-stage medical device company that develops and markets customizable, incision-free therapies for the ablation of diseased tissue, today announced that the first patients have been treated in the Level 1 CAPTAIN trial.
CAPTAIN is a prospective, multi-centre randomized controlled trial of 201 patients aimed at comparing the safety and efficacy of the TULSA procedure with radical prostatectomy in men with organ-confined, intermediate-risk, Gleason Score 7 prostate cancer. In the CAPTAIN trial, 134 patients will be randomized to receive one or two TULSA procedures and 67 patients will be randomized to receive RP. The trial is expected to take place at eight or more sites in the United States and two in Canada. Of those, six sites have been activated to date and are currently recruiting patients.
CAPTAIN is a post-market study intended to support coverage by payors, said Arun Menawat, Profounds CEO and Chairman. Notably, this will be the first Level 1 study ever conducted comparing an emerging technology head-to-head with RP in men with prostate cancer. So, if successful, in addition to helping advance our reimbursement strategy, we believe the data generated from CAPTAIN has the potential to drive much broader awareness and adoption of TULSA-PRO®.
About Profound Medical Corp.
For further information, please contact:
You May Like: Brca Gene Testing Prostate Cancer
The Tulsa Procedure Experience
An incision-free solution for prostate disease, the TULSA Procedure system combines real-time Magnetic Resonance Imaging with robotically-driven directional thermal ultrasound and closed-loop temperature feedback control software, delivering transurethral prostate tissue ablation of whole-gland or partial prostate tissue. The system is designed to be customizable, physician prescribed, and predictable. In addition to being incision-free, it is also radiation-free ablation that simultaneously protects the urethra and rectum with water cooling, which preserves mens functional abilities.
The procedure has been approved by the FDA and will be performed on an outpatient basis in a newly constructed, state-of-the-art operating room and recovery suite.
RadNet is pleased to be selected as the first west coast clinical Tulsa Pro treatment center, at our West Hills location. Tulsa Pro is a revolutionary method of focal therapy. The energy is delivered trans urethral, under MRI real time thermal mapping, for the most accurate, rapid, and effective whole gland ablation therapy. Their TACT trial has proven results of excellent PSA level reduction, lowest side effects to bowel/bladder, and over 80% cancer control, which is comparable to conventional treatments of surgery and radiation.
– Dr. Robert Princenthal
Tulsa Treats Prostate Cancer With No Incisions Surgery Or Radiation
Prostate cancer is a slow-growing but nefarious disease. The American Cancer Society estimates that in 2021 alone, more than 248,000 new prostate cancer cases will be diagnosed, making it the most common cancer in men. It also represents more than 13 percent of all cancer cases in the U.S.
Traditional treatment options such as surgery to remove the prostate and radiation therapy are effective at getting rid of tumors. However, for patients with localized, low-risk and some with intermediate-risk prostate cancer, the benefits of removing a tumor are often counterbalanced by the life-altering side effects of treatment. Even in the hands of a skilled surgeon or oncologist, erectile dysfunction and urinary incontinence are possible following prostate cancer surgery.
For some patients who choose active surveillance, which involves closely monitoring the tumor to make sure it isnt getting worse, the frequent checkups and knowledge that they have cancer can prove stressful.
But now there is another treatment option, and UT Southwestern is one of just a few U.S. centers that offers it.
Transurethral ultrasound ablation is a new outpatient procedure that was approved by the U.S. Food and Drug Administration in 2019 for prostate tissue ablation after the TACT clinical trial. Ablation refers to the destruction of tissues, in this case with heat: no incisions, surgery, or radiation required.
Don’t Miss: How To Tell If You Have An Enlarged Prostate
New Ultrasound Treatment For Prostate Cancer Revealed
- Researchers have unveiled a new technique using ultrasound to treat prostate cancer.
- The procedure known as TULSA doesnt involve surgery and has minimal side effects.
- The technique is already available for clinical use in Europe and has received initial permission from U.S. regulators to test the device.
A new procedure using ultrasound techniques may soon be available to treat prostate cancer without the complications of surgery.
The new outpatient procedure has shown promise and carries minimal side effects all without making a single incision.
It could also help treat benign prostatic hyperplasia .
There are two very unique things about this system, Dr. Steven S. Raman, a professor of radiology and urology as well as director of prostate MR imaging and interventions and prostate MR research at the University of California at Los Angeles, said in a statement.
First, you can control with much more finesse where youre going to treat, preserving continence and sexual function. Second, you can do this for both diffuse and localized prostate cancer and benign diseases, including benign hyperplasia.
Researchers presented their work this week at a meeting of the Radiological Society of North America.
The research hasnt been published yet in a peer-reviewed journal.
Cookie And Privacy Settings
These cookies are strictly necessary to provide you with services available through our website and to use some of its features.
Because these cookies are strictly necessary to deliver the website, you cannot refuse them without impacting how our site functions. You can block or delete them by changing your browser settings and force blocking all cookies on this website.
These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience.
If you do not want that we track your visist to our site you can disable tracking in your browser here:
We also use different external services like Google Webfonts, Google Maps and external Video providers. Since these providers may collect personal data like your IP address we allow you to block them here. Please be aware that this might heavily reduce the functionality and appearance of our site. Changes will take effect once you reload the page.
Google Webfont Settings:
Recommended Reading: How Long Does It Take For Prostate Cancer To Spread
Future Of Prostate Cancer Treatment
For some men, removing the entire prostate may no longer be necessary. As we learn more about the disease and how to reliably map it inside the prostate with advanced imaging, opportunities arise to treat the disease at a cancer-focus level rather than the entire prostate.
Today, insurance coverage may vary since this novel therapy is not yet a standard of care. As the procedure becomes more widely known and available, we expect the amount of coverage to increase. Before the procedure, patients can discuss their coverage with our financial counseling team to estimate potential out of pocket costs.
Since the procedure is so new and only a few centers offer it, we do not have long-term data to quote specific outcome trends. We are joining a multicenter registry to collaborate with other institutions that offer TULSA for prostate cancer so we can share in that information as the database grows.
As an academic medical center, it is important for us to be able to offer clinical trials for patients interested in focal therapy for those who might not be eligible for TULSA. We are working toward opening a trial of this nature through the Prostate Cancer Clinical Trials Consortium.
For men with localized, low- and intermediate-risk prostate cancer, eliminating cancerous prostate tissue with TULSA can provide a safe and effective option.
To discuss TULSA with a prostate cancer expert, call or request an appointment online.
Single Center Retrospective Analysis Of Fifty
Customized ablation with TULSA for treatment of prostate cancer is both safe and effective
Local recurrence after initial treatment failure can be successfully retreated with TULSA
Concordant benign prostatic hyperplasia can also be successfully treated
Partial ablation had better functional outcomes than whole-gland
Read Also: Benign Prostatic Hyperplasia Icd 10 Code
Mechanism Of Action And Aim Of Tulsa
The aim of TULSA-PRO is to systematically destroy diseased tissue in the prostate via the application of ultrasound energy. Instead of radiation, the mechanism of action is based on the precisely targeted and controlled delivery of ultrasound beams to heat and effectively ablate the tissue in a circumscribed ablation target area. The desired effect is the destruction of the targeted tissue via coagulation and not vaporization.
With the patient under general anesthesia, the ultrasound energy is applied to the diseased tissue with an applicator that is inserted through the urethra to the prostate. The applicator is a very thin rod-shaped device outfitted with a linear array of 10 independently controllable ultrasound transducers. Turning the applicator to various degrees enables your doctor to reach any area within the prostate.
Applicator with 4 activated transducers
Final planning for the procedure is carried using real-time MRI scans. This means that MRI scans of the prostate and its neighboring structures are generated while the applicator is in position. This allows your doctor to precisely demarcate the ablation target area.
Special attention is also given to the location of the structures straddling the prostate that are essential for normal urinary and erectile function so that these structures can be left intact.
Real-time monitoring of temperature development in an ablation target area in the prostate