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In this episode of the Dr. Geo Podcast, Dr. Geo sits down with Dr. Xiaosong Meng from UT Southwestern Medical Center to discuss TULSA (Transurethral Ultrasound Ablation), an advanced focal treatment for prostate cancer. They explore how TULSA works, its benefits, and how it compares to other focal therapies like HIFU, cryoablation, and IRE. The episode also highlights key factors such as MRI guidance, potential side effects, and the suitability of TULSA for patients with both BPH and prostate cancer.





Key Points:


-Comparison of TULSA with HIFU, cryoablation, and IRE.

-Importance of MRI guidance and tumor location.

-Discussion on potential side effects and 'natural' focal therapies.

-TULSA’s suitability for patients with BPH and prostate cancer.

-Role of TULSA in salvage treatments for recurrent prostate cancer.





Chapters


00:00 TULSA for Prostate Cancer

06:10 Deep Dive into TULSA Procedure

08:31 Comparing TULSA with Other Treatments

12:22 Patient Considerations and Side Effects

20:28 Technical Aspects and Challenges of TULSA

25:25 Understanding Swelling and Treatment Precision

25:48 Prostate Cancer in the Transitional Zone

26:09 Energy Source Limitations and Prostate Size

28:05 Nerve Sparing and Treatment Margins

]29:17 Erectile Dysfunction Post-Treatment

30:23 Patient Expectations and Nerve Preservation

34:55 Salvage Treatment Options

39:39 Prostate Cancer Trials and Outcomes

41:02 Incontinence and Post-Treatment Expectations

43:33 Availability and Expertise in TULSA


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