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Patient stories

TULSA-PRO Patient: Paul

Real Patients. Real Stories. Real Life.

Our TULSA-PRO patients have their unique journey and story to tell. Read their stories below and what they have to say about the TULSA Procedure.

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Patient stories

TULSA-PRO Patient: Paul

TULSA Procedure Outcomes

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TULSA-PRO Patient: Don


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TULSA-PRO Patient: Robert

“Everything has returned to normal and in some cases is better than what it has been for five years.”

— Ben, the first TULSA-PRO® patient, seen here with his urologist, Dr. Chin

Patient Profiles

Read in-depth stories about TULSA-PRO patients’ treatment journeys, from diagnosis through post-TULSA-PRO treatment.

John lapaglia

John, Texas, U.S.A.

64 years old

“By far, the TULSA Procedure had the lowest risk of any treatment out there. To me, there was no question. If you are a candidate for the TULSA Procedure, please consider it.”

My wife and I hadn’t seen a doctor in many years, so in 2019, we decided to get physicals. I found out that my PSA was elevated. After another PSA test with elevated results, I was referred to a urologist.

In between that time, I came across an article on-line about a new procedure for prostate cancer called the TULSA Procedure. When I read the article, I didn’t know that I definitely had prostate issues. I always knew it was a possibility, but for some reason, that article stuck with me.

After another PSA test with elevated results, a positive prostate biopsy, and genetic testing confirming a more aggressive type of cancer, my physician recommended treatment and referred me to a surgeon. I started researching what my options were knowing I had to do something.

I decided I had to get more information to determine if the TULSA Procedure was a viable option. I started researching and looked at some of the TULSA Procedure studies. What I was able to determine was that for short term side effects, there really is no comparison between the TULSA Procedure and other treatment options.

I was hesitant about having surgery because anything can happen when you start cutting into the body. My brother also had prostate cancer and ended up getting surgery (twice) and radiation. He experienced issues afterwards and said to avoid surgery if at all possible. I also talked to a few other people I knew that had had prostate cancer, and all of them said to avoid surgery. From a relationship standpoint, my wife just said that she didn’t care what I did, she just wanted me to be around.

After meeting with a surgeon, my wife and I decided that was not the way I wanted to go. For me, surgery was going to be more expensive than other options, and I would have probably needed radiation on top of that. I’m looking at quality of life and surgery is risking your quality of life. I’m only 63. I don’t want to have a bag for the rest of my life. With the TULSA Procedure, it was likely that I would not need radiation, there was less risk of side effects which meant a better quality of life afterwards.
I had to get a new Urologist to proceed in the direction that I wanted. You have to make your own decisions about what you want to do to yourself, and you cannot be afraid to make difficult decisions. After conversations with my Urologist and their surgeon and their lack of knowledge or interest about new developments for the treatment of prostate cancer, my wife and I knew we had to make a change.

It is important to remember that Doctors are not God and they only know what they have learned or been exposed to. If they are not listening to you or you don’t think they are giving you the best advice for your condition, you have to have the courage to make the best decision for yourself.”

I also looked at HIFU, and from my understanding, it works like a pencil eraser, delivering treatment line-by-line so one of the problems is that it could miss some cancerous tissue. I was concerned about getting rectal or bladder damage from the heat. With the TULSA Procedure, the device rotates in a cooling tube and has 10 rotating transducer elements delivering the treatment with direct MRI feedback to ensure the tissue is heated to the proper temperature to kill the cancerous tissue but not too high to damage any non-cancerous tissue. So, to me, there’s no comparison between these two treatments either.

I can’t say enough about Dr. Dora’s team at the Mayo Clinic in Jacksonville. He, his nurses, the technicians, and the other staff were amazing. Because there are three different doctors in the room – the urologist, radiologist, and anesthesiologist, you’re getting three different perspectives on what the treatment should be.
As far as the actual procedure versus an operation, there is no comparison. In general, there is no recovery. I didn’t have any pain. If it wasn’t for the catheter, I would not have known anything was done. If I had had surgery, it would have taken a lot longer to recover with more pain.

You have to make your own decision and be informed. Being informed means that you know the possible treatment options available and you understand their benefits and risks. As a patient going through this procedure, I can say that this was the best decision I could have made to treat this problem. And I did not go into it blindly. I knew there were risks, but I looked at the risks of all potential treatments. By far, the TULSA Procedure had the lowest risk of any treatment out there. To me, there was no question. If you are a candidate for the TULSA Procedure, please consider it.

There are things I talk about now that I never thought I’d be talking about – like urinary issues and ED issues. I know that a lot of men don’t want to talk about prostate issues or the possible side effects of prostate treatment, but it’s important. If you were to ask me two years ago, if I would be talking openly about my prostate issues and experience, I would say no. Now, I won’t stop talking about it.

I hope information about this procedure gets out to Urologists and to their patients. I am glad I had the choice.

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Derek, California, U.S.A.

48 years old

“After doing my research, I chose the TULSA procedure. Having now had the procedure I readily agree that it is ‘mini-invasive’ and ‘maxi-effective.’”


Dave, U.S.A.

53 years old

“The TULSA-PRO system provided technologically advanced imaging, mapping, and successful ablation of more than half of my prostate. The TULSA Procedure was less invasive and, in my opinion, far superior and than any other treatment.”

My diagnosis and limited options did not sit well with me as my new reality. I had too much to live for and had suffered too much recent loss just to lay down and take it. I questioned almost everything. I read as much as I could and hedged my bets by trying my best to change my diet and take natural remedies and supplements. There were and still are a few things that aroused my curiosity during my diagnosis, such as my “fusion” MRI biopsy. I listened to almost everyone I felt I could learn from. Being in sales most of my life, I realized that specialists were first specialists in their field and secondly salesmen. They were selling their specialties to me, whether it be radiation or surgery. I felt uncomfortable discussing alternative therapies. I felt as if it was almost threatening to them, which made me want to learn as much as I could until I could decide for myself.

I first found out about HIFU in groups online, which led me to understand and become familiar with ultrasound and the exciting potential and pitfalls of HIFU. When I then learned about the TULSA Procedure, it was easy to see the technological advantages.

Being a healthy 52-year-old man, I did not know what to expect. Having a catheter for a week was not easy. But I knew how lucky I was to have been treated successfully, and I was aware of surgical alternatives. I stayed at a wonderful nearby motel and took it easy. I felt comforted knowing I was close to the Busch Center and the entire team. I felt that I was in the best of hands every step of the way, with virtual angels doing their best to help me, and I held my head up high – they helped me to do that. Yes, I cried. I experienced discomfort but little pain. Days after having my catheter removed, I regained continence and partial erectile function which has continuously improved over time. The TULSA-PRO system provided technologically advanced imaging, mapping, and successful ablation of more than half of my prostate. The TULSA Procedure was less invasive and, in my opinion, far superior and than any other treatment. Three months later, my PSA has now come back as a 1.1. Five months out, I am not back to 100%, but with 7 months to go, I feel great and I am happy with the preservation of my erectile ability to improve over time.

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Tom, Canada

72 years old

“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 days!”

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