← Return to Planning on a Repeat Tulsa if your first Tulsa Pro failed?

Discussion
K. J. HOLZ avatar

Planning on a Repeat Tulsa if your first Tulsa Pro failed?

Prostate Cancer | Last Active: 4 days ago | Replies (2)
Comment receiving replies
Profile picture for jcf58 @jcf58

I don’t have a definitive answer! I had 30% of my 45 cc prostate treated by Tulsa. Mayo told me that Tulsa was definitely an option if the cancer were to return. This is what ChatGPT said about my specific situation.:
TULSA-PRO is possible if:
* The recurrence is small and localized
* It’s visible on MRI and/or confirmed on targeted biopsy
* It’s still confined to the prostate (no spread on imaging like PSMA PET scan)
* The anatomy still allows safe retreatment
* You strongly want to preserve urinary/sexual function
I was 4+3 when treated in 2024.

Jump to this post

Replies to "I don’t have a definitive answer! I had 30% of my 45 cc prostate treated by..."
K. J. HOLZ | @kjholz | 4 days ago

@jcf58 Oh I agree --you could get a repeat Tulsa. You had 30% of your 45 cc ablated. Meaning you had a Partial --more focal, actually. 30% of your 45cc prostate means there is still 70% (or 31-32 cc) for Tulsa Pro to *do* a repeat on.

By contrast had you gotten Whole gland ablation (90%), your post-treatment prostate would be 4 - 4.5 cc (approx size of one standard seedless grape). As Dr. Klotz said, "I can see that there might be technical difficulties with that."

Hope your Tulsa Pro holds all the way to the beach! 🌊🏄👍

VIEW AND REPLY