Going for Tulsa Pro

My doctor (Dr. Steven Raman, UCLA) is also very knowledgeable about active surveillance and would probably advise that if it weren't for the Urologist and radiologist that he works with, both suggesting full prostate ablation. So, I'm getting it over with. I've waited a year. It would suck to have it spread knowing I had a chance to catch it before it did.

THANKS FOR YOUR TIMELY REPLY. I have one liason - my prostate is 80 cc.
In addition to discussing TULSA PRO with Dr Klotz , I plan to broach the subject of Active Surveillance as he has also published extensive research addressing this matter . I am currently on AS

I had several tiny lesions, but my prostate size was over 100cc. Originally they aimed at about 2/3 of prostate for ablation fraction but it was higher maybe 75% on MRI post procedure image report they gave me. Dr Klotz is about the best, that sounds like a really good person to go to. Don't worry about these trials, that is about papers, the studies done for papers always have limits, go because you really want it for your case. For papers they propose so many x cases all y gleason, basically to make paper publishing less time consuming. I did some papers (completely unrelated and in research) it can take several years to get a paper published and they put all these limits so the paper publishing will be less basically. Keep in mind several years ago they didn't take the temperature up for long during Tulsa, now they take it up for so many minutes while watching the MRI all to be sure they kill what they see.

What size were your lisons and what size was your prostate .?
Yes in my consult with Dr. Klotz , who as I inducated was on thhe original research team at Sunnybrook with Dr. Chopra , I will address your proposed questions .
Dr. Klotz is currently conducting another TULSA - PRO Trial at Sunnybrook . At my age I would not qualify . The cost in Toronto is $ 30,000 Can. dollars $ 20,000 USD

If one goes for a consult to do Tulsa on your specific case, you have to ask what the proposed ablation fraction (how much they take out inside prostate) and also how much BPH you have. If you have a lot of BPH and the ablation fraction in high, and the most recent kinds of Tulsa they like to take temperature up long enough to really kill, it takes time. A lot of time.

About 3 hours. That included adding contrast after the procedure to ensure coverage. Doctor's Note: "Post ablation contrast imaging demonstrated appropriate ablation zone encompassing the prostate cancer."

I've read that it can take from 2 to 4 hours. While I don't like the idea of going under anatheisa at all, it's better (in my mind) than going under for surgery or having to go for radiation 5 to 40 times.

How long were you under anaesthetic ? I read one case on these threads where a club member was under for 4 hours . In Toronto the complete procedure takes less than 1/2 that time .

Glad to hear your Tulsa procedure went well. I hope you get the best results possible for your other challenges. Thanks for posting.

I laughed at your response! I am 66 and consider myself very healthy. Then I list out all the things I have had done in the last ten years and it doesn’t sound good - cataract surgery, carpel tunnel surgery, Mohs surgery for Basel cell cancer, prostate cancer, and 1/2 knee replacement! I feel great and feel blessed I live in an era when we have these options to improve/maintain life.