WHAT IS THE TULSA PROCEDURE?
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 (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. The physician can see the prostate at all times throughout the procedure.
How Does the TULSA Procedure Work?
The TULSA Procedure consists of four (4) stages:
Before the procedure, the patient will meet his treatment team. Typically, the treatment team includes a treating physician (urologist and/or radiologist), an anesthesiologist, and an Radiology Technologists. The treatment team will ensure the patient is comfortable before sedation.
The patient is then moved into the MRI room where the Ultrasound Applicator (UA) is inserted into the urethra, and the Endorectal Cooling Device (ECD) is inserted into the rectum by the treating physician.
The UA has 10 transducer elements – each one emits ultrasound energy in to the prostate. The physician can individually activate and control each transducer element depending on the prostate size. The UA also cools the urethra, which protects it from the thermal ultrasound energy. In the example below, only 9 out of the 10 transducer elements are needed to target the desired prostate tissue
The TULSA-PRO system is connected to the MRI machine. This enables the physician to use high-precision MR imaging to determine the exact areas of the prostate that will be ablated. Using these MR images, the physician draws out the boundary lines to create the patient’s customized procedure plan, tailored to their individual prostate shape, size and disease, while avoiding important nerve bundles and critical structures around the prostate.
During prostate ablation, the UA rotates within the urethra, creating a sweeping heating pattern that is directional and ablates the prostate tissue using an inside-out approach.
During the procedure, the TULSA-PRO system automatically carries out the ablation instructions outlined by the physician, ablating only within the prescribed boundary lines using real-time thermal images. The TULSA-PRO system carries out the physician’s treatment plan, which helps ensure precise prostate ablation and minimizes the risk of human error.
Using MR imaging, the physician will confirm the intended areas of the prostate that have been ablated successfully. Once the TULSA Procedure is complete, the patient will be catheterized and monitored during a brief recovery period. Patients are typically able to leave the same day, and resume daily activities.
WHO QUALIFIES FOR THE TULSA PROCEDURE?
Patients receiving the TULSA Procedure must be screened by a Magnetic Resonance Imaging professional (Radiology Technologists) before entering the MRI suite and assessed by an anesthesiologist before the procedure. Whether a patient qualifies for the TULSA Procedure will be determined by the treating physician. In previous clinical trials, ideal candidates consisted of men with low and intermediate risk, organ-confined prostate cancer.
Patients should contact a TULSA-PRO expert at a TULSA-PRO Center to know if they qualify for the TULSA Procedure. To find a TULSA-PRO Center near you!