TULSA Publications
Frequently Asked Questions
Following the TULSA Procedure, you are usually discharged from the hospital the same day or the next day, depending on Dr. Kella's assessment.
The procedure is performed in a single session that takes a few hours (2-4 hours). It is conducted under general anesthesia. After the procedure, Dr. Kella may decide to keep you in the hospital overnight for observation or you may go home the same day.
The TULSA Procedure uses Directional High-Intensity Ultrasound delivered through the urethra. This means the energy is delivered directly through the urethra (which is being cooled throughout the procedure) to the edge of the prostate. The energy does not come through the rectum, leaving the rectum preserved. In addition, TULSA has rectal cooling throughout the procedure to further protect the rectum from any unintended heat.HIFU uses High-Intensity Focused Ultrasound. This means the energy must pass through other tissue to reach the intended location. The energy is directed through the rectum, meaning the rectal wall is exposed to direct heat.
As with many procedures, there are side effects associated with the TULSA Procedure. The most common side effects include pain/discomfort in the targeted area, blood in urine, urinary tract infection, urinary incontinence, and erectile dysfunction. Dr. Kella will review with you all the risks associated with the TULSA Procedure.
The procedure is FDA approved. The company is dilengently working for an insurance code. This is currently a self-pay procedure. Depending on individual insurance policies, there may be some reimbursement for the procedure, which should be further discussed with your policy provider.
The TULSA Procedure is done under general anesthesia to keep your body as still as possible within the MRI machine during the procedure. Patients have minimal discomfort, if any. However, this is manageable using over-the-counter pain medication.
A catheter is typically in place for up to 14 days. Dr. Kella will assess your voiding function to confirm the appropriate removal date.
As observed during the pivotal study, patients typically returned to their daily activities (including work) within a couple of days following the procedure, and then back to baseline urinary/bowel quality of life within three months.