PRE OP

Am I eligible?

Whether or not you will qualify for a TULSA will be decided by the treating physician.

Is this an inpatient or outpatient procedure?

TULSA treatment is an outpatient procedure.

How long does the procedure take?

The treatment is performed in a single session that takes a few hours. It is conducted under general anesthesia.

What are the risks, especially to sexual function? What are the chances of ED or retrograde ejaculation?

As with many treatments, there are side effects associated with TULSA. The most common side effects could include pain/discomfort in the treatment area, blood in urine, urinary tract infection, urinary incontinence, and erectile dysfunction. Your doctor will review with you all the risks associated with this treatment.

What is the success rate?

“The TULSA-PRO system has been studied in clinical trials, the positive results of the pivotal trial met all of its primary and secondary efficacy and safety endpoints. The clinical trial demonstrated that the TULSA-PRO® provides safe and effective prostate tissue ablation, with minimal adverse events, significant prostate volume and PSA reduction, and low rates of residual prostate disease. The favorable safety profile offered by the TULSA-PRO contrasts with radical prostatectomy and radiation therapy that can leave many men with permanent erectile dysfunction, urinary incontinence, and bowel dysfunction.” For more information on the success rate, visit the pivotal trial press release HERE.

CANDIDACY AND HEALTH

Are there any medications that I should avoid prior to treatment?
You will discuss this with your treating physician.

I have a history of cardiac health problems. Do I still qualify?
In most cases, yes but all cardiac patients will need to visit with their cardiologist and get “cardiac clearance” as well as be reviewed by the anesthesiologist to ensure that the administration of general anesthesia is safe prior to the procedure. Make sure you discuss all health concerns with your Vituro Health TULSA physician.

I am diabetic. Will this interfere with the procedure?
It should not, but again make sure you discuss all prior health concerns with your Vituro Health TULSA physician.

INSURANCE AND MEDICARE

Will my insurance cover the cost?

Currently, Transuretheral Ultrasound Ablation of the prostate (TULSA-PRO®) is not a covered procedure by any commercial insurance company or Medicare. If you have a self-insured plan there might be potential for reimbursement as they have the most flexibility in coverage. Talk to your HR department to find out if your company is self-insured and the process you must follow to seek reimbursement. The Vituro Health Care Team will assist you in working through the benefits with your company.

Will I be able to deduct the cost of TULSA-PRO from my income taxes?

You may be able to deduct TULSA-PRO as a medical expense from your income taxes. Please consult your accountant for more information.

HOW TULSA-PRO WORKS

What is the procedure?

TULSA-PRO® is a transurethral prostate tissue ablation system that combines real-time Magnetic Resonance Imaging (“MRI”) with robotically-driven directional thermal ultrasound to deliver predictable physician-prescribed ablation of whole-gland or partial prostate tissue.

During TULSA-PRO is the entire prostate destroyed?

TULSA-PRO® is a transurethral prostate tissue ablation system that combines real-time Magnetic Resonance Imaging (“MRI”) with robotically-driven directional thermal ultrasound to deliver predictable physician-prescribed ablation of whole-gland or partial prostate tissue. How little or how much of the prostate is ablated is up to the discretion of the treating physician and is fully customizable to the individual patient’s needs.

Is the TULSA-PRO procedure painful?

TULSA is a minimally invasive procedure and requires no incision to be made. Most patients recover quickly and can return to their normal everyday life after a few days.

What happens to the prostate after the procedure?

Following the TULSA treatment, the prostate shrinks. Clinical studies show a median perfused prostate volume decrease of 91%. The prostate can continue to shrink for 12 months following treatment and can be confirmed through MRI.

How is this different from HIFU?

TULSA uses Directional High-Intensity Ultrasound delivered through the urethra. This means the energy is delivered directly through the urethra (which is being cooled throughout the treatment) to the edge of the prostate. The energy does not come through the rectum, leaving the rectum preserved. In addition, TULSA has rectal cooling throughout the treatment to further protect the rectum from any unintended heat.

HIFU uses High-Intensity Focused Ultrasound, this means the energy must pass through other tissue to reach the intended treatment location.

POST OP

Is the procedure repeatable?

Yes, TULSA Treatment is repeatable.

Is there a chance the cancer could return at some point after treatment?

As with many treatments, yes there is a possibility of recurrence. In the case of reoccurrence, TULSA treatment is repeatable.

Will I require additional medications after treatment?

Any post-treatment medication will be up to the discretion of the treating physician

When will I be able to have a glass of wine or beer?

How soon after will be up to the discretion of the treating physician

How long will I have to wear a catheter after my treatment, and what kind?

A catheter is typically in place for an average of five days. Your voiding function will be assessed by the treating physician in order to confirm the appropriate removal date.

When do I know if it worked?

The success of the TULSA procedure will be determined by the treating physician’s assessment.

What is my follow up?

Follow up of the TULSA procedure will be determined by the treating physician’s assessment.

What is the recovery time?

As observed during the pivotal study, patients typically returned to their daily activities (including work) within a couple of days following treatment, and then back to baseline urinary/bowel quality of life within 3 months.

 

For any additional questions, please fill out a contact form to be contacted by one of our patient care coordinators. 

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