I had the full gland TULSA PRO ablation done end of February at Texas Prostate in Dallas, Texas by Dr. James Cochran. All went very well, in at 7 a.m. and was prepped, the procedure started around 8 a.m. and I was awake at 11:15 a.m., out of the facility about an hour or so later. The entire staff were great and excellent to me, before and after the procedure. All very professional. I had zero pain from the procedure as far as the prostate goes. There is of course some discomfort from the catheter at the bladder neck, but medication took care of that. I left with a %100 silicone catheter, a leg bag and a night bag.

I wore the catheter for 12 days, had it removed at my home urologist where the URO RN did a 'fill and pull' where they fill the bladder and then you urinate in a small container. You need to pass at least 2/3 of what they put in. She put in 270ml and I passed 300ml so the catheter did not have to go back in.

The urine stream is still very weak, more so in the morning after waking up. Later in the day the stream improves to about 30 percent of what it should be. It will be this way for probably 8 or so weeks, maybe longer. Passing very little blood in urine, no pain during urination, no incontinence and no ED.

About the second week after the ablation I began to feel 'engorgement' in my penis, soon there after I began having mild erections during my sleep. Erections are now about at 90 percent of what they were. I am 69 so I am happy with that; I do expect that as I heal the erection percent will go higher.

I will get a PSA at 3 months and a MRI at 6 months. With a full gland ablation the PSA should be low, but what the doctor has mentioned to me that what ever it is, it needs to stay roughly the same from there on out. I did have a PSMA prior to the procedure and there were zero uptake, not even in the prostate were there uptake. Biopsy did show cancer but it was quite mild, and Gleason 3+3, 6. After the second tumor appeared I pulled myself from active surveillance and scheduled myself for TULSA PRO. I used AS as a window to decide what to do, that second tumor came along and I already knew what I wanted for treatment, I immediately made an appointment for the ablation.

All in all, at this point I am very, very pleased with the TULSA procedure and equally pleased with Texas Prostate, Dr. Cochran and his staff. I could not have asked for better care. I will post the results of my PSA and MRI when they are available.