The TULSA Procedure

Transurethral Ultrasound Ablation:
A Better Option for Prostate Treatment

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The TULSA Procedure Experience

An incision-free solution for prostate disease, the TULSA Procedure system combines real-time Magnetic Resonance Imaging (MRI) with robotically-driven directional thermal ultrasound and closed-loop temperature feedback control software, delivering transurethral prostate tissue ablation of whole-gland or partial prostate tissue. The system is designed to be customizable, physician prescribed, and predictable. In addition to being incision-free, it is also radiation-free ablation that simultaneously protects the urethra and rectum with water cooling, which preserves men’s functional abilities.

The procedure is FDA approved and is performed on an outpatient basis in state-of-the-art operating rooms with fully monitored recovery suites.

TULSA Procedure Doctor Patient

Kieth's Life-Changing Journey with the TULSA Procedure

RadNet TULSA Pro Centers in CA & AZ

West Hills TULSA Location

Liberty Pacific Advanced Imaging West Hills

23115 Sherman Pl
West Hills CA, 91307


Phone: (602) 277-4111
Fax: (602) 277-1333

West Hills TULSA Location

Arizona Diagnostic Radiology Park Central

3115 N. 3rd Ave Ste 140
Phoenix AZ, 85013


Phone: (818) 251-9811
Fax: (818) 342-0303

Orange County TULSA Location

WaveImaging Saddleback

23961 Calle De La Magdelena Suite 130
Laguna Hills, CA 92653


Phone: (949)-855-4301

Doctor Princenthal

TULSA Pro is a revolutionary method of focal therapy. The energy is delivered trans urethral, under MRI real time thermal mapping, for the most accurate, rapid, and effective whole gland ablation therapy. Their TACT trial, TULSA-PRO Ablation Clinical Trial, has proven results of excellent PSA level reduction, lowest side effects to bowel/bladder, and over 80% cancer control, which is comparable to conventional treatments of surgery and radiation.

- Dr. Robert Princenthal

Benefits of The TULSA Procedure

In addition to being an incision-free procedure, the TULSA
Procedure offers the following benefits to patients:

  • Radiation free.
  • Minimal to no pain, speedy recovery.
  • Real-time MRI imaging.
  • Outpatient procedure - requires no hospital stay
  • Reduced post-operative complications and costs.
  • MR Suite is significantly less expensive than an operating room.
  • Decreased risk of side effects such as urinary incontinence and erectile dysfunction

Frequently Asked Questions

The TULSA Procedure is an outpatient procedure. You will go home the same day you have your treatment.

The TULSA Procedure is performed in a single session that takes a few hours. You will be under general anesthesia during your treatment but usually, the entire process takes about 5 hours.

To make sure you qualify for TULSA Procedure, our team of Radiologists and Urologists will need to review all recent biopsy and MRI reports as well as your clinical history. They will need to see your MRI images as well, which you will need to mail in on a CD to the following address: Rolling Oaks Radiology – Attn: TULSA Program Care Coordinator 415 Rolling Oaks Drive, Suite 160 Thousand Oaks, CA 91361. Our Care Coordinator will reach out to you within one week to let you know your status.

TULSA Procedure is a transurethral prostate tissue ablation system that combines real-time Magnetic Resonance Imaging (MRI) with robotically-driven directional thermal ultrasound to deliver predictable physician-prescribed ablation of whole-gland or partial prostate tissue. It is incision free and radiation free.

The TULSA Procedure is a minimally invasive procedure and requires no incision. Most patients recover quickly and can return to their everyday life after a few days.

Following the TULSA Procedure treatment, the prostate shrinks and can continue to shrink for 12 months thereafter.

The TULSA Procedure is a transurethral prostate tissue ablation system that combines real-time Magnetic Resonance Imaging (MRI) with robotically-driven directional thermal ultrasound to deliver predictable physician-prescribed ablation of whole-gland or partial prostate tissue. The amount of prostate ablated is up to the discretion of the treating physician and is fully customizable to your individual needs.

As with many cancers and treatments, there is a possibility of recurrence. If your cancer were to return, TULSA Procedure treatment is repeatable.

Patients typically return to their daily activities (including work) within a couple of days following treatment, and then back to baseline (urinary/bowel) quality of life within three months.

A few days after your TULSA Procedure treatment, you will see your urologist in his/her office for a follow-up visit. At this appointment, your catheter will be removed and various labs will be performed. You will have a second follow-up appointment 6 weeks later for a general prostate and wellness check.

TULSA PRO is currently not covered by health insurers or Medicare. Patients are responsible for the entire cost of treatment. We are sensitive to the financial cost involved and offer an all-inclusive price for the procedure (not including lab fees). We do not add any undisclosed fees. Our Care Coordinator can provide you with detailed pricing information.

Financing is available through Care Credit, which provides a line of credit for health and wellness expenses. Care Credit allows you to manage out-of-pocket healthcare expenses at over 200,000 participating providers nationwide, including RadNet. You can apply for credit and receive a decision in minutes.

TULSA PROCEDURE vs HIFU

TULSA vs HIFU

High Intensity Focused Ultrasound (HIFU) is similar to TULSA PRO in that it is a non-invasive procedure that targets cancer cells directly. Both procedures use thermal ultrasound to ablate prostate tissue, but they differ significantly in their delivery methods.

HIFU uses an “outside-in” approach, meaning the ultrasound energy used to ablate prostate tissue comes from outside the prostate. Because the HIFU treatment requires a device inserted into the rectum, the heat waves must pass through the rectal wall in order to reach the particular prostate area.

Conversely, the TULSA Procedure inserts its device directly through the urethra, which is inside the prostate, hence, utilizing an “inside-out” approach. Inside the urethra, the device rotates, creating a heating pattern that travels toward the targeted prostate region from inside the prostate. The ability to ablate from inside-out means the TULSA procedure is completely incision free.

Unlike HIFU, TULSA is also administered in live-time with the use of MRI. This ensures that the procedure is controlled and predictable.

During the TULSA Procedure, a cooling device is inserted into the rectum which protects tissue from the ultrasound energy, while simultaneously, the transurethral device is also cooling the urethra. Actively cooling the urethra and the rectum helps preserve the patient’s natural functions and does not permit for any thermal energy to pass through the rectum.

Ultimately, The TULSA Procedure uses better guidance and control. It has immediate energy application feedback and actively cools non-target tissue.

TULSA Procedure Care
Coordinator

At RadNet, we're focused on ensuring better treatment and delivering the best possible outcomes for every patient we treat. In addition to our highly skilled staff of radiologists and technicians, every patient will work with our Care Coordinator for the TULSA Procedure. The Care Coordinator is designated to each TULSA Procedure patient and works only with the TULSA Procedure. The Care Coordinator will be the first person you hear from at RadNet, going over necessary requirements and exams. The Care Coordinator will answer all of your questions, make appointments, set up a calendar of events for you, and will guide you through the entire process.

We want every one of our patients to have all the knowledge and information he needs throughout the process and to know he is never alone on his TULSA Procedure journey.

TULSA Care Coordinator

We Want To Hear From You

Prostate MRI

Call and we'll help schedule your Prostate MRI screening appointment and answer your questions.


Arizona: (480) 455-1850

Fresno: (559) 474-4290

Coachella Valley: (760) 318-2988

Victor Valley: (760) 951-2867

Inland Empire: (951) 682-1099

Antelope Valley: (661) 945-5855

Long Beach: (714) 784-1643

Los Angeles: (310) 854-7722

San Fernando Valley: (818) 616-6538

San Gabriel Valley: (626) 445-4850

Temecula Valley: (951) 587-8956

Ventura County: (805) 357-0067

Orange County: (714) 784-1643

Bakersfield: (661) 324-7000

TULSA Procedure

Call or submit the form to start the TULSA Procedure process with our team. We're here to guide you through each step and answer any questions you have.


TULSA Procedure Phone: (818) 480-7266

TULSA Procedure Fax: (818) 827-5152

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View Our Centers

We Want To Hear From You

Prostate MRI

Call and we'll help schedule your Prostate MRI screening appointment and answer your questions.


Arizona: (480) 455-1850

Fresno: (559) 474-4290

Coachella Valley: (760) 318-2988

Victor Valley: (760) 951-2867

Inland Empire: (951) 682-1099

Antelope Valley: (661) 945-5855

Long Beach: (714) 784-1643

Los Angeles: (310) 854-7722

San Fernando Valley: (818) 616-6538

San Gabriel Valley: (626) 445-4850

Temecula Valley: (951) 587-8956

Ventura County: (805) 357-0067

Orange County: (714) 784-1643

Bakersfield: (661) 324-7000

TULSA Procedure

Call or submit the form to start the TULSA Procedure process with our team. We're here to guide you through each step and answer any questions you have.


TULSA Procedure Phone: (818) 480-7266

TULSA Procedure Fax: (818) 827-5152

Message Sent!