What is the TULSA Procedure?
The TULSA Procedure, also known as transurethral ultrasound ablation, is a minimally invasive treatment used to ablate targeted prostate tissue.
Performed in an MRI suite using the TULSA-PRO® Transurethral Ultrasound Ablation System, the procedure combines AI-powered robotic assistance, real-time MRI guidance, temperature monitoring and directional ultrasound energy. This allows the treating doctor to plan, monitor and deliver controlled ablation to a defined area of prostate tissue, while aiming to preserve healthy tissue around the treatment area.
During the procedure, an ultrasound applicator is inserted through the urethra, meaning no surgical incisions are required. The treatment plan can be tailored to your individual anatomy and to the location and amount of prostate tissue being treated. This personalised approach aims to preserve nearby structures involved in urinary and sexual function, both of which are important aspects of overall quality of life.
What to Expect During the TULSA Procedure?
If you are considering the TULSA Procedure, knowing what to expect can help you prepare for your treatment. Your healthcare team will guide you through the process, from preparing for the procedure to your care immediately afterwards.
The procedure generally involves:
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You will be asleep under anaesthesia throughout the procedure.
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A small ultrasound applicator is inserted through the urethra, allowing treatment to be delivered from within the prostate without the need for a surgical incision.
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Real-time MRI imaging allows the treating doctor to view the prostate and guide treatment towards the selected area.
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Directional ultrasound energy heats and ablates the targeted prostate tissue while aiming to preserve healthy tissue around the treatment area.
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The TULSA Procedure is generally performed as a same-day procedure, and patients can usually return home following treatment. Recovery varies between individuals, but the procedure is designed to minimise pain and downtime while supporting quality of life.
Considering the TULSA Procedure
Every patient’s circumstances are different. The TULSA Procedure may be considered by men seeking a personalised, minimally invasive treatment approach that does not involve traditional prostate surgery.
Your treating doctor can discuss whether the procedure may be suitable for you and explain its potential benefits and other relevant considerations. These may include:
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A treatment plan tailored to your prostate size, shape and disease characteristics
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A same-day outpatient procedure that generally does not require an overnight hospital stay
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A relatively quick recovery, although recovery times vary between patients¹
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Low rates of serious urinary incontinence and erectile dysfunction reported in the referenced clinical study²
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Some patients taking blood-thinning medication may be considered for the procedure following an individual medical assessment
TULSA-PRO® Frequently Asked Questions
Could the TULSA Procedure be suitable for me?
Your treating doctor can determine whether the TULSA Procedure may be appropriate for you based on your individual circumstances.
1Klotz et al, “MRI-guided transurethral ultrasound ablation of prostate cancer,” The Journal of Urology (2021).
2Eggener et al, “Pivotal Study of MRI-Guided Transurethral Ultrasound Ablation (TULSA) of Localized Prostate Cancer: 5-Year Follow Up” Urol Onc (2024)