madman
Super Moderator
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
