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Tulsa Pro - my initial treatment experience

Prostate Cancer | Last Active: 15 hours ago | Replies (115)

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@paulcalif

Hey Bjroc,
Just wondering how you are progressing? I am very interested in having the Tulsa Pro procedure myself. Trying to get into UCLA. I had a biopsy done in early Jan. and have to wait until April 8th to get an MRI. After the MRI, UCLA will consult with me. There aren't very many men out there that are writing about their Tulsa treatment. Also, curious about your BPH symptoms. I'm currently taking Terazosin twice a day and have been for a few years. It works with no side effects, but it would be nice not to have to take it. Did they ablate your urethra or did you regain flow because your prostate shrank? I had a phone conversation with UCLA (an intake contact) who said Tulsa would be covered by original Medicare, but since then I have sent emails back and forth, and they won't confirm or deny that, so I am skeptical.

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Replies to "Hey Bjroc, Just wondering how you are progressing? I am very interested in having the Tulsa..."

All of it takes time, you are doing fine on time as far as I can tell, it took me 6 months to go from biopsy saying I needed treatment to the actual treatment but I did two months of shrinking (dutasteride) because they wanted it a bit smaller for extra effectiveness. From urethra to lesion has to be less than 30 mm, I was at 28 mm maximum, but they really wanted to down below 25 mm for most effectiveness for the Tulsa Pro.

Before the Tulsa I had a pretty big prostate but my BPH symptoms were only medium so I didn't have to take any alpha blockers but I was getting to the point I needed them. I mean I had to go too often, and sometimes it was incomplete empty but was still tolerable. Another few months out and I might have needed a prescription.

During the procedure they don't ablate the urethra, they keep that in tact as it is the path for the Tulsa probe. It uses two emitters on the probe and where the two beams cross it ablates so the beams don't cross in the urethra but out at where the lesions are. For two full months I had to use alpha blockers and it was pretty heavy need for them. I was able to drop them at that point. This past weekend I was just thinking this is the best I have pee'd in ten years so things still improving. I am pretty sure the prostate has gone way down in size but won't have an MRI till 1 year out.

Can't say on payments or coverage, I had been saving expecting to do something like this.