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Precision prostate treatment that preserves what matters most.
Incision-free, radiation-free, and versatile prostate treatment with no hospital stay.
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Targeted treatment with a low risk of side effects.
For men with prostate cancer, the TULSA Procedure offers a level of precision that allows for local control of clinically significant disease, with significant PSA reduction and low rates of residual cancer on follow-up biopsy. Plus, it can also be a great option for men with benign prostatic hyperplasia (BPH).
Why MRI-guided precision matters
The TULSA Procedure has a relatively low risk of side effects because the doctor has the ability to avoid important nerve bundles and structures around your prostate while still effectively removing problematic tissue—leading to a lower chance of erectile dysfunction and urinary incontinence.
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About Dr. Cochran
With an unparalleled 46 years of experience treating men with prostate cancer, Dr. James Cochran brings a wealth of knowledge and expertise to our center. He founded the largest private urology practice in the Dallas-Fort Worth Metroplex with 16 locations and over 50 urologists. He has been a leader in ultrasound ablative procedures for 30 years, including extensive experience with both HIFU and TULSA. Dr. Cochran's long-standing dedication to advancing prostate cancer care ensures that every patient receives the highest standard of treatment. As a prostate cancer survivor himself, Dr. Cochran understands the personal and family challenges associated with a prostate cancer diagnosis.
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About Dr. Cochran
With an unparalleled 46 years of experience treating men with prostate cancer, Dr. James Cochran brings a wealth of knowledge and expertise to our center. He founded the largest private urology practice in the Dallas-Fort Worth Metroplex with 16 locations and over 50 urologists. Hse has been a leader in ultrasound ablative procedures for 30 years, including extensive experience with both HIFU and TULSA. Dr. Cochran’s long-standing dedication to advancing prostate cancer care ensures that every patient receives the highest standard of treatment. As a prostate cancer survivor himself, Dr. Cochran understands the personal and family challenges associated with a prostate cancer diagnosis.
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Design and build stunning websites with wdsbt.
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Design and build stunning websites with wdsbt.
Rooted in simplicity and built with purpose, it brings an abundance of patterns, versatile templates, and a tailored color palette.
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Design and build stunning websites with wdsbt.
Rooted in simplicity and built with purpose, it brings an abundance of patterns, versatile templates, and a tailored color palette.
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Design and build stunning websites with wdsbt.
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Design and build stunning websites with wdsbt.
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Learn more about prostate conditions
Benign Prostatic Hyperplasia (BPH)
With BPH, there is an overgrowth of prostate tissue that pushes against the urethra and the bladder, restricting the flow of urine.
Radio-Recurrent Prostate Cancer
Sometimes, radiation therapy fails to eliminate prostate cancer completely. Recurrent prostate cancer after radiation therapy is a serious health risk for approximately 20% – 30% of radiation-treated patients.
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Prostate Cancer Symptoms
Many men who have prostate cancer have no symptoms. Prostate cancer typically develops unnoticed in the early stages. Signs and symptoms only occur at later stages. Those can include:
Trouble urinating and emptying the bladder completely
A sudden, urgent need to urinate, especially at night
A burning sensation or pain while urinating
The presence of seminal fluid or blood in the urine
A continuous pain in the back, hip, or pelvic area
Signs of anemia, such as fatigue, weakness, or shortness of breath
Pain during ejaculation and a weak or interrupted flow of sperm
Erectile dysfunction
Unexplained weight loss
Interactive Sections
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Have questions? We're here to help.
If you have questions about the TULSA Procedure, connect with one of our helpful Patient Educators.
Active Surveillance
Many men with prostate cancer do not need to be treated right away because their cancer is slow-growing, and there is a low risk of spreading².
Instead, these men are offered active surveillance, which involves close monitoring of their cancer with repeat PSA, DRE and biopsy tests. Treatment is recommended when there are signs that the cancer has progressed4.
TULSA Procedure
The TULSA Procedure uses MRI-guided transurethral ultrasound to precisely ablate targeted prostate tissue. It is performed as an outpatient procedure with no incisions and no radiation, preserving surrounding healthy tissue and structures.
Radical Prostatectomy
Surgical removal of the entire prostate gland, typically performed as a robot-assisted procedure. While effective at removing cancer, it carries risks of urinary incontinence and erectile dysfunction due to potential nerve damage.
Radiation Therapy
Uses high-energy beams to destroy cancer cells. Options include external beam radiation and brachytherapy (internal radiation). Side effects may include bowel, urinary, and sexual function changes that can develop over time.
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Prostate Cancer
Diagnosis
Doctors use various diagnostic tests and procedures to determine if a patient has prostate cancer. These tests aim to find out how aggressive the cancer is, how large it is, whether it has spread into surrounding tissue, and to assess a patient’s overall condition.
These examinations may need to be carried out several times to get the most-detailed picture possible.
PSA Test
Prostate Specific Antigen (PSA) is a protein made by prostate tissue. The amount of PSA measured in your blood normally increases with age and prostate size, but abnormally high levels may indicate the need for additional testing.
DRE Exam
A Digital Rectal Exam (DRE) allows a doctor to physically examine the prostate gland by feeling for any irregularities in size, shape, or texture. While it may not detect all cancers, a DRE can identify abnormalities that blood tests alone might miss.
MRI Scan
Multiparametric MRI (mpMRI) provides detailed images of the prostate and surrounding tissues without the need for radiation. This advanced imaging technique helps doctors locate suspicious areas, assess tumor size, and determine whether the cancer has spread beyond the prostate.
Prostate Biopsy
A prostate biopsy involves collecting small samples of tissue from the prostate gland using a thin needle guided by ultrasound or MRI imaging. These tissue samples are then examined under a microscope to confirm the presence of cancer cells and assign a Gleason score.
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How TULSA PRO Works
The Transurethral Ultrasound Ablation (TULSA) Procedure is a minimally invasive procedure that uses directional ultrasound to produce very high temperatures to ablate (destroy) targeted prostate tissue. The procedure is performed in a Magnetic Resonance Imaging (MRI) suite and uses the TULSA-PRO® system to ablate prostate tissue from the 'inside-out'. 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.
Device Insertion
A device called the ultrasound applicator (UA) is inserted into the urethra, which delivers ultrasound energy towards the prostate using 10 individually controlled transducer elements.
The UA has a cooling mechanism that protects the urethra from the ultrasound energy. An endorectal cooling device (ECD) is also inserted into the rectum protecting the rectal tissue, helping to preserve the patient's natural functions.
Clear MRI Views
A device called the ultrasound applicator (UA) is inserted into the urethra, which delivers ultrasound energy towards the prostate using 10 individually controlled transducer elements.
The UA has a cooling mechanism that protects the urethra from the ultrasound energy. An endorectal cooling device (ECD) is also inserted into the rectum protecting the rectal tissue, helping to preserve the patient's natural functions.
Boundary Lines
A device called the ultrasound applicator (UA) is inserted into the urethra, which delivers ultrasound energy towards the prostate using 10 individually controlled transducer elements.
The UA has a cooling mechanism that protects the urethra from the ultrasound energy. An endorectal cooling device (ECD) is also inserted into the rectum protecting the rectal tissue, helping to preserve the patient's natural functions.
Prostate Ablation
A device called the ultrasound applicator (UA) is inserted into the urethra, which delivers ultrasound energy towards the prostate using 10 individually controlled transducer elements.
The UA has a cooling mechanism that protects the urethra from the ultrasound energy. An endorectal cooling device (ECD) is also inserted into the rectum protecting the rectal tissue, helping to preserve the patient's natural functions.
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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.
General TULSA FAQs
Why should I purchase the All-zAccess plan?
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Why should I purchase the All-zAccess plan?
Powder is the the premier block theme for WordPress designers and agencies, featuring an extensive library of wireframe patterns and versatile templates.
Why should I purchase the All-zAccess plan?
Powder is the the premier block theme for WordPress designers and agencies, featuring an extensive library of wireframe patterns and versatile templates.
Why should I purchase the All-zAccess plan?
Powder is the the premier block theme for WordPress designers and agencies, featuring an extensive library of wireframe patterns and versatile templates.
Why should I purchase the All-zAccess plan?
Powder is the the premier block theme for WordPress designers and agencies, featuring an extensive library of wireframe patterns and versatile templates.
Why should I purchase the All-zAccess plan?
Powder is the the premier block theme for WordPress designers and agencies, featuring an extensive library of wireframe patterns and versatile templates.
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Learn more with our frequently asked questions
The TULSA Procedure is a breakthrough treatment option for men with prostate disease. Below you'll find answers to some of the most common questions we receive from patients and their families.
If you don't see your question answered here, please don't hesitate to reach out to our team directly. We're here to help you understand your options and make an informed decision about your care.
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General TULSA FAQs
How do I get in touch with a physician?
You can use our physician finder tool to locate a TULSA-trained physician in your area and request a consultation directly through their office.
How do I find a TULSA clinic near me?
Visit our clinic locator page to find a certified TULSA treatment center near you. Centers are available across the United States and internationally.
Do TULSA-PRO centers review MRI results from other centers?
Yes, many TULSA-PRO centers are able to review MRI results from other facilities. Contact your nearest center directly to confirm their specific process for outside imaging review.
Are there any publications or research on the TULSA Procedure?
Yes. The TULSA Procedure has been studied in multiple peer-reviewed clinical trials, including the TACT study. Results have been published in leading urology journals demonstrating its safety and efficacy.
Does the TULSA Procedure use a laser?
No. The TULSA Procedure uses directional ultrasound energy — not a laser — to precisely heat and ablate targeted prostate tissue under real-time MRI guidance.
How does the TULSA Procedure work FAQs
What is the TULSA Procedure?
The TULSA Procedure is an incision-free, radiation-free treatment that uses MRI-guided transurethral ultrasound to precisely ablate targeted prostate tissue while preserving surrounding structures.
How does the TULSA Procedure work?
A physician places a small ultrasound device through the urethra into the prostate. Under continuous MRI monitoring, the device delivers precisely controlled ultrasound energy to heat and destroy targeted tissue in real time.
How long have doctors been doing the TULSA Procedure?
The TULSA Procedure received FDA clearance in 2019 and has been performed at certified centers across North America and Europe since then, with an expanding global network of trained physicians.
I have my PSA test results, can I be treated with the TULSA Procedure?
PSA results are one factor a physician considers when evaluating candidacy for the TULSA Procedure. A full assessment — including imaging and biopsy results — is needed to determine whether you are a suitable candidate.
Pre-Operation FAQs
Is this an inpatient or outpatient procedure?
The TULSA Procedure is an outpatient procedure. Patients typically go home the same day without an overnight hospital stay.
How long does the procedure take?
The TULSA Procedure typically takes 1 to 2 hours in the MRI suite, depending on the size of the treatment area.
What is the success rate?
Clinical studies show that the TULSA Procedure effectively treats targeted prostate tissue while preserving quality of life in the majority of patients. Your physician can discuss what outcomes you might expect based on your individual case.
If you can't find what you were looking for, get in touch with us and submit your inquiry:
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Precision prostate treatment that delivers exactly the benefits you're looking for
98
%
of men reported preservation of erectile function at 1 to 2 years with focal ablation
Erectile Function
Focal ablation with the TULSA Procedure is designed to preserve the nerve bundles responsible for sexual function, helping most men maintain their quality of life after treatment.
95
%
of men reported preservation of urinary continence
Return to Freedom
For the overwhelming majority of men who undergo the TULSA Procedure, there's no need for diapers, pads, or constant trips to the bathroom.³
0
hospital days required for the TULSA Procedure
Return to Peace-of-Mind
With a big drop in PSA and low rates of residual cancer on follow-up biopsy,¹ your anxiety and uncertainty about the future is also lowered.
Quick recovery
and no hospital stay
Quick Procedure
From start to finish, the TULSA Procedure takes just 1 to 2 hours in the MRI suite — a minimal time commitment for a life-changing treatment with lasting results.
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What's involved in being a TULSA Procedure patient?
While it may vary slightly for each doctor and patient, the process leading up to the TULSA Procedure, the procedure itself, and the period after it's performed are generally the same—whether you're being treated for prostate cancer or BPH.
The four stages involved are Pre-Procedure, Preparation & Planning, Delivery & Confirmation, and Recovery & Follow-Up.
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Common interventions for patients with prostate cancer
Understanding the advantages and risks of your available treatment options is essential in helping you make the best decision possible.
It's also important to remember that while it's vital that you talk with your doctor about your treatment options, ultimately the decision is yours. It's also too important a decision to be rushed unless absolutely necessary. After all, it's your prostate, and your life.
What are the most-commonly used treatments?
Active Surveillance
Close monitoring of cancer with repeat PSA, DRE and biopsy tests. Treatment is recommended when there are signs that the cancer has progressed.
TULSA Procedure
Minimally invasive, MRI-guided ultrasound ablation that precisely targets prostate tissue while preserving surrounding structures.
Other Focal Therapies
Treatments that target specific areas of the prostate rather than the entire gland, including HIFU and cryotherapy.
Radical Prostatectomy
Surgical removal of the entire prostate gland. Can be performed robotically or as open surgery.
Radiation Therapy
Uses high-energy radiation to destroy cancer cells. Can be delivered externally or internally via brachytherapy.
spectrum-blocks/spectrum-list (standalone)
Active Surveillance
Close monitoring of cancer with repeat PSA, DRE and biopsy tests.
TULSA Procedure
Minimally invasive, MRI-guided ultrasound ablation that precisely targets prostate tissue.
Other Focal Therapies
Treatments that target specific areas of the prostate rather than the entire gland.
Radical Prostatectomy
Surgical removal of the entire prostate gland.
Radiation Therapy
Uses high-energy radiation to destroy cancer cells.
Cards
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Benign Prostatic Hyperplasia (BPH)
With BPH, there is an overgrowth of prostate tissue that pushes against the urethra and the bladder, restricting the flow of urine.
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Prostate Cancer
A common, usually slow growing cancer that begins within the prostate, but can spread.
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98
%
of men reported preservation of erectile function at 1 to 2 years with focal ablation
Low Complications
Based on our most recent data, the TULSA Procedure has a relatively low risk of everyday functional decline because your physician has the ability to avoid important nerve bundles and structures around your prostate, decreasing the risk of side effects.
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TULSA is the perfect choice for someone young and active like me. I was treated like a king the day of the treatment, and I had so little pain all I needed was a single Tylenol the next day. I was back to my job and taking meetings within a couple of day.
Tom, Tulsa Procedure Patient
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Get treatment for most common prostate conditions
Only your doctor can diagnose the reason you may be having symptoms of prostate disease. But for three of the most common prostate issues, the TULSA Procedure may be able to help. Click on one of the options below to learn more.
Prostate Cancer
A common, usually slow growing cancer that begins within the prostate, but can spread.
Radio-Recurrent Prostate Cancer
In some cases, radiation therapy fails to eliminate cancer completely, requiring more treatment.
BPH
Also known as an enlarged prostate, BPH is an overgrowth of tissue that restricts urine flow.
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Classification: Stage & Category
Normal
A healthy prostate
Stage T1
The cancer cannot be felt in a digital rectal examination, and cannot be seen using imaging techniques²
Stage T2
Localized prostate cancer²—the cancer is limited to the prostate
Stage T3
Locally advanced prostate cancer²—the cancer has broken through the prostate 'capsule'
Stage T4
The cancer is growing in surrounding organs²
Prostate cancer staging describes how far the cancer has spread within or beyond the prostate gland. The T-stage system classifies tumors from T1—where the cancer is too small to be felt or seen—through to T4, where it has grown into nearby organs. Understanding your stage is one of the first steps in determining which treatment options are appropriate for your situation, and how urgently treatment may need to begin.
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Once I understood the difference, the TULSA Procedure was an easy decision. It not only treated my cancer effectively, it also protected the quality of life things that are important to me. I feel incredibly blessed and want to make sure other men know about this option.
Leonard Wheeler, Tulsa Procedure Patient
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Learn more about prostate conditions
Benign Prostatic Hyperplasia (BPH)
With BPH, there is an overgrowth of prostate tissue that pushes against the urethra and the bladder, restricting the flow of urine.
Radio-Recurrent Prostate Cancer
Sometimes, radiation therapy fails to eliminate prostate cancer completely. Recurrent prostate cancer after radiation therapy is a serious health risk for approximately 20% – 30% of radiation-treated patients.
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References
- National Cancer Institute. (2011, August). Understanding Prostate Changes. Retrieved: https://www.cancer.gov/types/prostate/understanding-prostate-changes/prostate-booklet.pdf
- American Cancer Society. (2015, March 12). Prostate Cancer. Atlanta, GA: American Cancer Society. Retrieved: https://www.cancer.org/acs/groups/cid/documents/webcontent/003134-pdf.pdf.
- Rukstalis, D. B. (2002). Treatment options after failure of radiation therapy—a review. Reviews in urology, 4(Suppl 2), S12. Retrieved: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477547/
- National Cancer Institute. (2019, June 12). Prostate Cancer Treatment. National Cancer Institute. Retrieved: https://www.cancer.gov/types/prostate/patient/prostate-treatment-pdq