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Anyone do Tulsa Pro, newer laser ablation procedure?

Prostate Cancer | Last Active: Apr 25, 2023 | Replies (30)
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@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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Replies to "Hello Russm, I have had 2 Prostate HIFUs. The first by an in-experienced urologist in Dec..."
melcanada | @melcanada | Dec 11, 2022

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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russm | @russm | Jan 18, 2023

Bill,
I thought I'd give you an update. My biopsy showed that I have prostate cancer. On the left side of my gland, I have a 3+4, a 4+3, and two 4+4 samples that showed up. I also had a small 3+3 in the right side. I was so disappointed as the biopsy report also showed my prostate density at .09 and my prostate volume at 56cc. Considering, I had free PSA ranges from 22 to 28 and not too high of a PSA...and a PSA density well under the .15 that is sometimes referenced. I did not expect to have Gleason 8 cancer. I remain hopeful that someone will accept me for HIFU or TULSA. I am concerned as the biopsy also mentioned some calculi. I read that calculi can prevent you from having the treatment. But, I also read that calculi can be removed. Thank you again for your replies. I have already sent in my biopsy reports and the MRI for review.

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