TULSA Procedure: the Benefits & Risks

There’s a lot to consider when you and your doctor are choosing the right prostate treatment for you and your condition. As with any medical treatment, the TULSA Procedure has benefits and risks.

Traditionally, many men with prostate cancer have been treated with radical prostatectomy, a surgery that removes the entire prostate gland. Clinical research, including results from the landmark CAPTAIN randomized control trial, has shown that men treated with the TULSA Procedure may experience better preservation of urinary continence and erectile function, less pain after the procedure, faster recovery, fewer hospitalizations for complications, and a quicker return to normal activities and work compared with traditional prostate surgery.

Focal outcomes:

  • 98% of previously potent men reported preservation of erectile function at 1 to 2 years1
  • 98% of men reported preservation of continence and were pad-free at 1 to 2 years1

Whole-gland outcomes:

  • 87% of previously potent men reported erection firmness sufficient for penetration at 5 years5
  • 97% of men reported maintenance of urinary continence at 5 years5

The TULSA Procedure is FDA cleared and has more than 20 clinical publications with up to five-year outcomes. It’s also incision-free and performed as an outpatient procedure, with many benefits including a low complication rate and a rapid recovery time.

Why does the TULSA Procedure have a relatively low risk of functional decline? Your doctor has the ability to avoid important nerve bundles and structures around your prostate, decreasing the risk of side effects.

The TULSA Procedure’s precision allows for local control of clinically significant disease, with significant PSA reduction and low rates of residual cancer on follow-up biopsy.2

The TULSA Procedure is a “one-and-done” procedure that’s performed in a single session and takes a few hours. There’s no need for repeat visits, meaning you can take less time off work, spend less time in the hospital, and spend more time living.

If you need future prostate care, you may either have a repeat TULSA Procedure or choose another type of prostate therapy.

Most patients return to daily activities quickly and their erectile and urinary functions return to baseline in about three months.

The TULSA Procedure is a highly customizable procedure that is personalized based on your unique anatomy, tissue, and level of disease.

All surgical treatments carry risks, and individual outcomes may vary based on patient and disease characteristics. The most common side effects of the TULSA Procedure are mild and temporary, such as urinary symptoms, blood in the urine, minor infections, discomfort in the pelvic, genital, abdominal or anorectal area.

More serious risks, though rare, can include anesthesia risk, sexual dysfunction, urine leakage, urethral discharge, urinary tract infection, deep vein thrombosis, rectal injury, and tightening of the bladder outlet and/or urethra, which may require additional intervention. Patients may also experience worsening urinary symptoms, such as increased frequency, urgency, or the need to urinate at night.

References
  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).
  3. Klotz, Laurence. “MRI-Guided Transurethral Ultrasound Ablation (TULSA): Not just another focal therapy.” September 2022, PowerPoint Presentation.
  4. Pavlovich, et al. “MP73-05-Pivotal trial of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer: Four-year follow-up.” The Journal of Urology Suppl (2023).
  5. PRO-TALK Webinar, Episode 5, “Unlocking the Potential for TULSA-PRO: Embrace the Future Now and Avoid Being Left Behind.” June 2023.