By: Dr. Gary Bellman on April 25, 2022
SoCal Urology Institute Offers the TULSA-PRO Procedure for Prostate Cancer Patients
Board-Certified Urologist and Founder of the Southern California Urology Institute, Dr. Gary Bellman, MD offers a new treatment option to patients with Prostate Cancer and Enlarged Prostate Conditions.
This new FDA approved procedure is called TULSA-PRO and has many unique advantages over traditional surgical methods to treat Prostate Cancer.
One of the major benefits of this procedure is that Dr. Bellman is able to protect surrounding tissues of the urethra and rectum as well as preserve function. As this is a minimally invasive procedure, the recovery time as well as the risk of impotence and incontinence are reduced.
Dr. Bellman uses a device known as an ultrasound applicator that is guided through the urethra and into the prostate. The function of this device is to emit heat and break down cancerous cells. Throughout the procedure, he uses an endorectal cooling device to protect nearby tissues from the ultrasound waves and preserve function.
This procedure is customized as Dr. Bellman uses live MRI imaging to pinpoint the exact location of cancerous tissues. He is able to control the direction and strength of the sound waves to efficiently ablate harmful tissues and visually confirm that the cancerous cells are no longer present.
Frequently Asked Questions
How long does the procedure take?
The procedure is performed in a single session that takes a few hours (2-4 hours). It is conducted under general anesthesia. After the procedure, Dr. Bellman may decide to keep you in the hospital overnight for observation or you may go home the same day.
Is the TULSA Procedure painful?
The TULSA Procedure is done under general anesthesia to keep your body as still as possible within the MRI machine during the procedure. Patients have minimal discomfort, if any. However, this is manageable using over-the-counter pain medication.
What is the recovery time?
Patients typically return to their daily activities (including work) within a couple of days following the procedure, and then back to baseline urinary/bowel quality of life within three months.
What are the risks, especially to sexual function? What are the chances of ED or retrograde ejaculation?
As with many procedures, there are side effects associated with the TULSA Procedure. The most common side effects include pain/discomfort in the targeted area, blood in urine, urinary tract infection, urinary incontinence, and erectile dysfunction. Dr. Bellman will review with you all the risks associated with the TULSA Procedure.