HIFU vs. TULSA PRO vs. Other Focal Therapies for Prostate Cancer | Mark Scholz, MD | PCRI

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07/07/23

Medical oncologist Mark Scholz, MD, fields questions all about TULSA-PRO, an image-guided form of high-intensity focused ultrasound that is becoming more popular as a form of focal therapy for prostate cancer. The hope is that this procedure can reduce the side effects of radical treatment via surgery or radiation while maintaining excellent cure rates.

0:09 What are HIFU and TULSA-PRO and how do they work?

2:13 What are the side effects of these treatments?

4:33 At what point would a prostate be too large for treatment with HIFU or TULSA-PRO?

5:40 Is HIFU more or less effective depending on the Gleason score?

6:41 If a patient with a high Gleason score has HIFU, should they also have a course of hormone therapy?

8:07 Are HIFU and TULSA-PRO considered curative therapies?

8:31 How do TULSA-PRO and HIFU compare to other forms of focal therapy?

10:03 Are these treatments covered by Medicare or other insurances?

10:31 Which factors would you take into consideration if deciding between HIFU or TULSA-PRO?

11:22 How many procedures would you expect a doctor to have performed to be considered competent in HI-FU or TULSA-PRO?

12:32 What should PSA look like after focal therapy with HI-FU or TULSA-PRO?

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