Anyone do Tulsa Pro, newer laser ablation procedure?
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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@russm I had a PSA done in July 2022 which read 1.1 then another one 2 yrs post HIFU on Jan 10 which read 1.3 slightly elevated but Dr says he wants to wait until April to do the follow-up MRI and a PSA repeat. My PSA nadir was 0.9 on August 2021. He also said he does not get concerned unless the PSA rises 1.2 points above the nadir which in my case would be 2.1 Although you should not get too tied up with PSA numbers as they can certainly fluctuate. Bill
First of all, I wish you the very best with your MRI and future PSA tests. I hope they are perfect in your favor. If you are comfortable sharing those results, I am sure myself and others are anxious to hear them.
I am still in the "treatment" decision process and will be having a PSMA PET scan in a little over a week. At this point, I am considering pretty much every option including TULSA PRO, HIFU, radiation or surgery.
As mentioned, I had a couple of Gleason 8's (16 percent and 8 percent) in the two cores and a couple of Gleason 7's out of 12 samples. I sent my scans and reports out to several doctors and spoke with your doctor on Friday. He requested the aforementioned scan and mentioned that I may need more when and if he sees me for a TULSA or HIFU consultation.
Thank you again and best of luck moving forward.
Hello @russm When I was doing research a few years ago I found these 2 articles to help with my decision. These pertain to HIFU and not TULSA PRO however. I would trust the doctors at Mayo. Good luck to you. 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.
They say at least 8ozs a day has been shown to help. I believe it has to be pure and god quality like PomPom.
How many daily ounces of Pomegranate juice do you recommend drinking?
That is an incredible and positive message. Thank you so much for sharing! I am hopeful considering my Free PSA is pretty high and considering I have 57.4 volume. There are a few calculators out there that put things in my favor. With that said, I don't want to become overly optimistic. Thank you again.
Yes then enzalutamide
Won't you eventually become "castrate resistant" taking Zolodex?
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 😀