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Anyone do Tulsa Pro, newer laser ablation procedure?

Posted by michael1952 @michael1952, Dec 16, 2021

Anyone do Tulsa Pro, relatively new laser ablation procedure for prostate

What was your experience, did you do partial or full ablation?

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fowleraacapt | @fowleraacapt | Nov 1, 2022
In reply to @jamesbyron "I'm considering the TULSA procedure for prostate cancer (Gleason 7). Anyone who has experienced the procedure,..." + (show)
@jamesbyron

I'm considering the TULSA procedure for prostate cancer (Gleason 7). Anyone who has experienced the procedure, docs who performed it, and others with recommendations or comments are welcomed to respond. Thank you.

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I am also considering it and would love to know how it has gone for everyone

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1 reply
Moderator
Colleen Young, Connect Director | @colleenyoung | Nov 3, 2022
In reply to @fowleraacapt "I am also considering it and would love to know how it has gone for everyone" + (show)
@fowleraacapt

I am also considering it and would love to know how it has gone for everyone

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Welcome, @fowleraacapt. Can you share a bit more about yourself? When were you diagnosed and what treatment options are you considering?

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russm | @russm | Dec 8, 2022
In reply to @poodledoc "In November of 2020 I had a prostate HIFU performed by Dr Scionti in Sarasota, FL...." + (show)
@poodledoc

In November of 2020 I had a prostate HIFU performed by Dr Scionti in Sarasota, FL. Happy with the results so far. Dr Scionti does both HIFU and the newer TULSA-PRO but for me recommended the HIFU. Cost was not a consideration, but the HIFU did cost $15,000 less than TULSA-PRO. poodledoc

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Thank you for the information on HIFU and TULSA-Pro. I had a PSA that bounced around from 4.5, 3.8, 4.3, 4.4 5.0, 5.4 over the past several years then rose to 6 this past summer. My DRE was normal. Free PSA levels have been 22 to 28 and prostate volume is 57.4. My doctor ordered an MRI and I have two Pi-RADS 4 lesions in the same lobe of the prostate peripheral zone. The lesions are 11mm and 10mm. So, about 1CM each.

I have a biopsy schedule in January. I am hopeful I don't have cancer. If it turns out to be a gleason score 7 cancer, I have been exploring HIFU and Tulsa-Pro. I have a Florida home about an hour from the Scionti and watched his videos. It is nice to see that Mayo appears to be offering TULSA-Pro also.

Was your PSA 2.6 after the cancer returned following your HIFU in 2018? Or, was that your initial PSA that motivated further exploration of the potential for prostate cancer.

I live in Indiana for a good part of the year and had a pretty serious back issue that took me to the Mayo Clinic in Rochester MN over 30 years ago. After two surgeries performed locally failed, they did a great job. So, I may also explore Mayo in Jacksonville for the TULSA-Pro option. I noticed Dr. Scionti has performed numerous procedures and watched his videos. Do you have any thoughts/updates...thank you!

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2 replies
poodledoc | @poodledoc | Dec 9, 2022
In reply to @russm "Thank you for the information on HIFU and TULSA-Pro. I had a PSA that bounced around..." + (show)
@russm

Thank you for the information on HIFU and TULSA-Pro. I had a PSA that bounced around from 4.5, 3.8, 4.3, 4.4 5.0, 5.4 over the past several years then rose to 6 this past summer. My DRE was normal. Free PSA levels have been 22 to 28 and prostate volume is 57.4. My doctor ordered an MRI and I have two Pi-RADS 4 lesions in the same lobe of the prostate peripheral zone. The lesions are 11mm and 10mm. So, about 1CM each.

I have a biopsy schedule in January. I am hopeful I don't have cancer. If it turns out to be a gleason score 7 cancer, I have been exploring HIFU and Tulsa-Pro. I have a Florida home about an hour from the Scionti and watched his videos. It is nice to see that Mayo appears to be offering TULSA-Pro also.

Was your PSA 2.6 after the cancer returned following your HIFU in 2018? Or, was that your initial PSA that motivated further exploration of the potential for prostate cancer.

I live in Indiana for a good part of the year and had a pretty serious back issue that took me to the Mayo Clinic in Rochester MN over 30 years ago. After two surgeries performed locally failed, they did a great job. So, I may also explore Mayo in Jacksonville for the TULSA-Pro option. I noticed Dr. Scionti has performed numerous procedures and watched his videos. Do you have any thoughts/updates...thank you!

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Hello Russm, I have had 2 Prostate HIFUs. The first by an in-experienced urologist in Dec 2018. Pre-op PSA was 6.9 and 6 months post-op it dropped to 1.2 Then my 2nd HIFU with Scionti was in Dec 2020, pre-op PSA 2.6 (biopsy showed relapse of Gleason 7 - 3+4) and 6 month post-op 1.0 Keep in mind the first HIFU was done on about 2/3 of the right side of my prostate (focal). My second HIFU involved the entire right side. So I still have my entire left side intact. My last PSA in July this year was 1.0 and I am due next month for my 2 year PSA. Hopefully it will remain around 1.0 I have no issues with ED or incontinence. I think the key to a successful HIFU is finding an experienced doctor. Either Mayo or Dr Scionti should be a good choice. Good luck to you, Bill

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2 replies
russm | @russm | Dec 10, 2022

Thank you for the very helpful information! I hope your 2 year PSA test has perfect results and that they continue that way the rest of your life.

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imbimbo | @imbimbo | Dec 10, 2022

Is HIFU (high intensity focused ultrasound) covered completely by Medicare?

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melcanada | @melcanada | Dec 11, 2022
In reply to @poodledoc "Hello Russm, I have had 2 Prostate HIFUs. The first by an in-experienced urologist in Dec..." + (show)
@poodledoc

Hello Russm, I have had 2 Prostate HIFUs. The first by an in-experienced urologist in Dec 2018. Pre-op PSA was 6.9 and 6 months post-op it dropped to 1.2 Then my 2nd HIFU with Scionti was in Dec 2020, pre-op PSA 2.6 (biopsy showed relapse of Gleason 7 - 3+4) and 6 month post-op 1.0 Keep in mind the first HIFU was done on about 2/3 of the right side of my prostate (focal). My second HIFU involved the entire right side. So I still have my entire left side intact. My last PSA in July this year was 1.0 and I am due next month for my 2 year PSA. Hopefully it will remain around 1.0 I have no issues with ED or incontinence. I think the key to a successful HIFU is finding an experienced doctor. Either Mayo or Dr Scionti should be a good choice. Good luck to you, Bill

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Why not just get it all out and get on Zolodex that stops the testosterones that is the fertilizer for prostate cancer

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1 reply
fowleraacapt | @fowleraacapt | Dec 11, 2022
In reply to @russm "Thank you for the information on HIFU and TULSA-Pro. I had a PSA that bounced around..." + (show)
@russm

Thank you for the information on HIFU and TULSA-Pro. I had a PSA that bounced around from 4.5, 3.8, 4.3, 4.4 5.0, 5.4 over the past several years then rose to 6 this past summer. My DRE was normal. Free PSA levels have been 22 to 28 and prostate volume is 57.4. My doctor ordered an MRI and I have two Pi-RADS 4 lesions in the same lobe of the prostate peripheral zone. The lesions are 11mm and 10mm. So, about 1CM each.

I have a biopsy schedule in January. I am hopeful I don't have cancer. If it turns out to be a gleason score 7 cancer, I have been exploring HIFU and Tulsa-Pro. I have a Florida home about an hour from the Scionti and watched his videos. It is nice to see that Mayo appears to be offering TULSA-Pro also.

Was your PSA 2.6 after the cancer returned following your HIFU in 2018? Or, was that your initial PSA that motivated further exploration of the potential for prostate cancer.

I live in Indiana for a good part of the year and had a pretty serious back issue that took me to the Mayo Clinic in Rochester MN over 30 years ago. After two surgeries performed locally failed, they did a great job. So, I may also explore Mayo in Jacksonville for the TULSA-Pro option. I noticed Dr. Scionti has performed numerous procedures and watched his videos. Do you have any thoughts/updates...thank you!

Jump to this post

Russ
I also had 2 RAD 4 lesion show up in MRI with PSA of 5.8, they did a trans-perineal biopsy guided with the MRI and ultrasound (very accurate supposedly) and thankfully all 14 samples came back negative. So keep the faith and drink lots of pomegranate juice and lots of Vit C 😀

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2 replies
web265 | @web265 | Dec 11, 2022
In reply to @melcanada "Why not just get it all out and get on Zolodex that stops the testosterones that..." + (show)
@melcanada

Why not just get it all out and get on Zolodex that stops the testosterones that is the fertilizer for prostate cancer

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Won't you eventually become "castrate resistant" taking Zolodex?

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1 reply
melcanada | @melcanada | Dec 11, 2022
In reply to @web265 "Won't you eventually become "castrate resistant" taking Zolodex?" + (show)
@web265

Won't you eventually become "castrate resistant" taking Zolodex?

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Yes then enzalutamide

Ideas welcome

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