TULSA-PRO®: A New Path Forward in Prostate Cancer Treatment
A prostate cancer diagnosis brings a lot of questions, and one of the biggest is what treatment will look like. For decades, the main options have often meant surgery, radiation, or long-term monitoring — each with its own trade-offs. At Evolution Imaging, we're proud to offer patients another option: the TULSA Procedure, a minimally invasive treatment that targets prostate tissue with precision while helping preserve quality of life.
What Is the TULSA Procedure?
TULSA stands for Transurethral Ultrasound Ablation. In simple terms, it's a way to destroy targeted prostate tissue using focused, directional ultrasound energy — without cutting into the body. The ultrasound waves generate extreme, controlled temperatures that ablate (destroy) the tissue the physician has identified for treatment, whether that's a specific area of concern or the entire gland.
Because the treatment is delivered from inside the urethra rather than through an incision, TULSA avoids many of the risks and recovery challenges associated with traditional prostate surgery.
How It Works: Real-Time MRI Guidance
What sets TULSA apart is how it's guided. Using the TULSA-PRO® system integrated into our existing MRI suite, our physicians can see the prostate in real time throughout the entire procedure. This live imaging is combined with a robotically controlled ultrasound device, giving physicians an exceptional level of control and accuracy.
In practice, this means the physician isn't guessing or relying on pre-procedure imaging alone — they're watching the treatment unfold as it happens, adjusting as needed to protect surrounding healthy tissue and nerves while thoroughly treating the targeted area.
Why Patients Are Choosing TULSA
A few things make this procedure stand out:
No radiation. TULSA relies entirely on thermal ultrasound energy, so patients avoid the radiation exposure associated with some other prostate cancer treatments.
No incisions. The procedure is performed transurethrally, meaning there's no cutting, no scarring, and typically a smoother recovery.
Outpatient care. TULSA is performed as an outpatient procedure, so patients can generally return home the same day rather than facing an extended hospital stay.
FDA-cleared. The TULSA-PRO® system has been cleared by the FDA, giving patients confidence that it meets recognized safety and effectiveness standards.
Fully customizable. Every prostate — and every diagnosis — is different. TULSA can be tailored to treat the whole gland or only the specific portion of tissue that needs it, based on the physician's findings and the patient's goals for treatment and recovery.
Is TULSA Right for You?
Because TULSA is so adaptable, it's worth a conversation with your physician about whether it fits your specific diagnosis and goals. Some patients are drawn to it because they want to avoid surgery. Others are looking for a treatment that limits impact on quality-of-life factors like urinary and sexual function. The right approach always depends on your individual case.
At Evolution Imaging, our team is here to help you understand your options and determine whether the TULSA Procedure could be part of your treatment plan. Advanced imaging and innovative technology are at the core of what we do, and we're committed to giving patients access to leading-edge, minimally invasive care close to home.
Want to learn more about the TULSA Procedure or find out if you're a candidate? Contact Evolution Imaging today to schedule a consultation with our team and take the next step toward a treatment plan that's built around you.