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TULSA-PRO for prostate cancer treatment, also called the TULSA Procedure, has empowered many of my patients to retain their normal sexual and urological function while treating their prostate cancer. Here in my Beverly Hills clinic, I’ve treated more prostate cancer patients with focal therapies like TULSA Pro and HIFU than any other physician in California. This innovative technology is gradually growing, but many people have to travel to be accessible to hubs like my practice in Los Angeles to have this treatment option. Some patients may still need a prostatectomy based on their case, but for those who qualify, TULSA Pro can target cancer cells with precision and minimal invasiveness. Let me share what to expect when exploring this promising form of focal therapy.
My team at Comprehensive Urology and I are among select providers offering this advanced option for men dealing with prostate health concerns. Reach out today if you have been diagnosed with Prostate Cancer.
Key Features of TULSA-PRO:
My approach combines clinical expertise with cutting-edge technology to deliver effective solutions for various prostate concerns. I invite you to schedule an appointment to discuss whether this treatment option is appropriate for your specific situation.
TULSA-PRO represents a significant step forward in how I approach prostate conditions today. This technology combines MRI imaging with robotically controlled ultrasound energy similar to HIFU to target specific areas of prostate tissue that need treatment.
The system works by inserting an ultrasound device through the urethra, which allows me to deliver thermal energy precisely where it’s needed. During the procedure, I monitor everything in real-time using MRI guidance, which means I can see exactly what tissue I’m treating.
What makes this approach particularly valuable is its adaptability. I can customize each treatment plan based on your specific prostate anatomy and condition. This precision helps me protect surrounding structures while addressing the targeted tissue, which often leads to better functional outcomes for my patients.
I use TULSA-PRO to treat patients facing two distinct prostate conditions. The procedure effectively addresses prostate cancer in men who qualify as candidates for this targeted approach which is a form of focal therapy.. I also offer it to patients experiencing benign prostatic hyperplasia, commonly known as an enlarged prostate.
Both conditions benefit from the precision this technology provides. For cancer patients, I can target specific areas within the gland while preserving surrounding tissue. Men dealing with enlargement find relief as the treatment reduces prostate volume and alleviates associated urinary symptoms.
The versatility of this approach allows me to customize treatment based on each patient’s unique situation. Whether addressing cancerous tissue or managing growth-related issues, I tailor the ablation zone to meet individual clinical needs.
One of the most valuable aspects I’ve observed with this treatment is its ability to be tailored specifically to each patient’s situation. The technology adapts to prostates of varying sizes, which expands my ability to help more men find relief.
Preservation of Function
The procedure actively safeguards the urethra throughout treatment. This protection translates to maintained functionality after your procedure. I’ve seen remarkably high rates of preserved erectile function compared to other treatment approaches.
Minimally Invasive Approach
Because I use real-time MRI guidance during the procedure, there’s no need for surgical incisions. The closed-loop thermal monitoring gives me a complete picture throughout treatment. These features contribute to consistent procedure times and expedited recovery periods.
Single Session Treatment
You’ll complete your treatment in just one session. This one-time approach has demonstrated effectiveness comparable to complete prostate removal, yet you avoid the significant life changes that major surgery typically brings.
Key Advantages:
Focus on Your Future
My goal extends beyond addressing your immediate medical needs. This treatment approach prioritizes maintaining your quality of life long-term. By preserving critical functions, you can move forward with confidence in your health and wellbeing. The protective nature of this technology allows me to treat your condition while keeping your future comfort and capabilities intact.
TULSA-PRO completes in one session that typically spans several hours while you’re under anesthesia. I can give you an estimated treatment duration before we begin, as the time varies based on your specific case.
The procedure takes place inside an MRI suite where I deliver focused ultrasound energy through your urethra to precisely target affected prostate tissue. The system incorporates cooling mechanisms for both the rectum and urethra, which protects surrounding organs and tissues from thermal damage during treatment.
Key Treatment Features:
After your treatment ends, you’ll go home the same day. I’ll meet with you briefly to discuss your recovery and answer immediate questions. Depending on which type of sedation you received, you may need someone to drive you home.
The treatment produces minimal side effects for most patients. I remain available to address any concerns that arise during your recovery period.
Before Treatment Begins
I need to establish an accurate diagnosis and cancer staging to confirm TULSA-PRO suits your situation. This involves PSA testing, a physical examination, reviewing your symptom history, and performing an MRI fusion biopsy of your prostate. These diagnostic steps ensure I recommend the most appropriate treatment approach for your specific condition.
TULSA-PRO opens doors for many patients seeking alternatives to traditional surgery. The treatment works best for men with localized low- or intermediate-risk prostate cancer, particularly when tumors appear clearly on MRI imaging and remain confined to one area of the prostate.
Ideal patient characteristics include:
I also use this procedure for select patients with benign prostatic hyperplasia (BPH) when enlarged tissue causes significant symptoms. The technology allows me to target affected areas while protecting surrounding structures.
The evaluation process begins with your initial visit. During this appointment, I review your complete medical history, imaging studies, and biopsy results. This comprehensive assessment helps me understand your unique situation and determine whether TULSA-PRO aligns with your early stage prostate cancer treatment goals.
Every patient presents different circumstances. Some may require additional testing or imaging before I can make a final recommendation. Others may benefit from combining this approach with other therapies. My team and I take time to discuss all aspects of your condition and answer your questions thoroughly.
The best way to know if you qualify is to schedule a consultation. I can examine your specific case, explain how the procedure would work for you, and outline what results you might expect based on your individual diagnosis.
Navigating the financial aspects of advanced prostate cancer treatment is a priority for our patients. Because TULSA Pro is a minimally invasive, incision-free technology, its coverage status has evolved as clinical data has demonstrated its efficacy and safety.
Effective January 1, 2025, the Centers for Medicare & Medicaid Services (CMS) established three Category I CPT® codes specifically for the TULSA procedure. This milestone transition from “investigational” to “established” status allows for broader coverage across various medical settings.
For patients who are self-paying or whose insurance does not yet cover the full cost of the procedure, costs can vary based on the facility and the complexity of the case.
We understand that this is a significant investment in your long-term health and quality of life. To help manage out-of-pocket expenses, many patients utilize healthcare-specific financing services such as CareCredit or LightStream, which offer monthly payment plans to fit different budgets.
Insurance Sources:
Insurance Sources:
The cost of TULSA-PRO treatment varies depending on several factors in my experience. Geographic location, the specific medical facility, and your insurance coverage all play significant roles in determining the final price.
Most patients find that the procedure ranges from $20,000 to $30,000 when paying out of pocket. However, I always recommend contacting your insurance provider directly to understand your specific coverage and potential out-of-pocket expenses.
Some facilities offer payment plans or financing options to help manage the cost. I encourage my patients to discuss these financial arrangements with the facility’s billing department before scheduling.
I’ve seen TULSA-PRO availability expand over recent years, though it remains more limited than traditional prostate treatments. The procedure requires specialized equipment, including an MRI suite and the TULSA-PRO system itself.
Major academic medical centers and advanced urology practices typically offer this treatment. You’ll find TULSA-PRO at facilities that have invested in both the technology and physician training.
To locate a provider near you, I recommend checking the official TULSA-PRO website or contacting manufacturers directly. Not all urology centers have adopted this technology yet, so you may need to travel to access it.
Medicare coverage for TULSA-PRO has evolved since the FDA cleared the device. Currently, Medicare does provide coverage for TULSA-PRO when used to treat prostate tissue in certain circumstances.
Coverage decisions can vary based on:
I always advise my patients to verify coverage with their Medicare representative before proceeding. Your care coordinator at the treatment facility can also help navigate insurance pre-authorization requirements.
In my practice, I’ve observed that TULSA-PRO generally produces fewer side effects than many traditional prostate treatments. However, no medical procedure is entirely without risks.
Common short-term effects include:
Potential longer-term considerations:
Most of my patients experience mild side effects that resolve within weeks to months. The MRI guidance helps me preserve surrounding structures, which typically results in better functional outcomes compared to whole-gland treatments.
Yes, the FDA has cleared the TULSA-PRO system. The device received FDA clearance for ablating prostate tissue, which allows me to use it for treating both benign prostatic hyperplasia and localized prostate cancer.
FDA clearance means the device met safety and effectiveness standards through rigorous review. This regulatory approval gives me confidence in recommending TULSA-PRO to appropriate candidates.
The clearance specifically covers transurethral ultrasound ablation of prostate tissue under MRI guidance. This represents a significant milestone for patients seeking minimally invasive prostate treatment options.
I consider several factors when determining if TULSA-PRO suits a particular patient. The ideal candidate typically has localized prostate disease without extensive spread beyond the gland.
Favorable candidate characteristics:
Factors that may affect candidacy:
I evaluate each patient individually through physical examination, imaging studies, and laboratory work. Your PSA level, Gleason score, and overall health status all factor into my treatment recommendations.
Some men prefer TULSA-PRO because it offers an incision-free approach with typically faster recovery than surgery. I discuss all treatment options with my patients to help them make informed decisions aligned with their goals and values.
Written by: Kia Michel, MD, Board-Certified Urologist, Urological Surgeon, & Sexual Health Specialist
Reviewed by: Robert Sanford, MD, Board-Certified Urologist, Urological Surgeon, & Sexual Health Specialist
Last Reviewed: March 19, 2026 12:20pm PT
How We Review Medical Content: Dr. Michel reviews all references for accuracy and clinical relevance, and Dr. Robert Sanford peer-reviews the data to ensure the most up-to-date information. NPI numbers:
Comprehensive Urology, Los Angeles
Disclaimer: This video and supporting text is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Please contact a licensed physician in reference to your specific case.
Written by Dr. Kia Michel, a board certified urologist, surgeon, and founding member of Comprehensive Urology in Beverly Hills, Los Angeles. Dr. Michel's expertise includes focal therapy (HIFU/TULSA), prostate cancer treatment, robotic surgery, and male enhancement treatments such as Shock Wave Treatment for ED and penile injections.