TULSA Procedure

Busch Center is proud to be one of few elite centers to offer groundbreaking TULSA (Transurethral Ultrasound Ablation) Procedure. This is an effective treatment option for prostate cancer or BPH (benign prostatic hypertrophy) with no incision or radiation and minimal side effects.

What is TULSA?

The TULSA Procedure is a customizable, predictable and incision-free ablation of a defined region of the prostate. This approach allows Dr. Busch to customize your treatment plan to your specific needs.

The TULSA Procedure may be a suitable first-line treatment of prostate cancer or BPH. The main objective of TULSA is to ablate diseased or excess prostate tissue while protecting surrounding healthy organs and structures. This will help preserve your natural functional abilities – ensuring your quality of life.

The TULSA Procedure works by delivering precise doses of ultrasound waves to destroy diseased prostate tissue while protecting the healthy tissue surrounding the cancerous cells.

The Power of a Second Opinion: Ruben’s Story

You know your body. And when something feels off—or doesn’t sit right—it’s okay to pause, ask questions, and keep searching for answers that truly serve your best interest. Meet Ruben, a Busch Center patient who has yet to step foot in our clinic. After reviewing his images, Dr. Busch confirmed he didn’t need TULSA or even a biopsy—just active surveillance. What started as a routine check-up quickly turned into a season of uncertainty. But as...

TULSA for Benign Prostatic Hyperplasia (BPH)

TULSA-PRO may be a good option for men with moderate to severe BPH symptoms who are

looking for a gentle, effective alternative to traditional surgery.

See Why

Helpful TULSA Resources

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TULSA Procedure Fact Sheet

Learn more about how TULSA works and its unique benefits.

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Sucessful Treatment of BPH

Learn about the success of treating BPH with TULSA from an important research study.

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Using the Best MRI Tech for TULSA

Learn about the MRI “gradient imaging” tech Dr. Busch uses to see and kill cancer.

Benefits
of TULSA

1. RADIATION-FREE

TULSA uses High Intensity Direction Ultrasound to ablate the prostate instead of ionizing radiation.

2. INCISION-FREE

TULSA is a minimally invasive treatment that allows most patients to return to their normal activities within days.

3. CUSTOMIZED TREATMENT

Dr. Busch customizes treatment based on your individual needs and disease.

4. ONE AND DONE

TULSA is performed in a single session that takes a few hours and is usually conducted under managed anesthesia care (MAC) with multimodal pain management (MMP). After the treatment, Dr. Busch will consult with you before sending you home the same day.

5. QUALITY OF LIFE

TULSA provides comparable or better than outcomes for erectile dysfunction and urinary incontinence when compared to other prostate cancer treatment options.

6. NO RISK OF RECTAL FISTULA

Clinical evidence has shown that neighboring organs such as the rectum are not affected by the TULSA Procedure. The system directs the ultrasound energy towards the areas of the prostate Dr. Busch plans to treat, while also actively protecting the areas not to be treated.

7. NO TURP REQUIRED (TRANSURETHRAL RESECTION OF THE PROSTATE)

Dr. Busch is one of the few physicians in the U.S. trained to perform the revolutionary TULSA Procedure. In his capable hands, this customizable, predictable and incision-free treatment option results in positive outcomes with virtually no side effects, which helps preserve men’s quality of life after cancer treatment.

The TUSLA Procedure has been proven to work as well as a full prostatectomy, but without the awful, life-altering side effects.

Dr. Busch uses state-of-the-art MRI imaging during the procedure, allowing him to see precisely where the cancer is located. That way, he can target the cancer accurately, treating only the diseased tissue and not damaging any of the adjacent healthy tissue, nerves or organs.

HOW DOES TULSA WORK?

The TULSA Procedure is performed in combination with real-time MR Imaging, directional thermal
ultrasound, and a closed-loop temperature feedback control. TULSA treatment is delivered in an MRI examination room.

During the treatment, the ultrasound energy is delivered through the urethra directly to the targeted tissue in the prostate (inside-out ablation). The energy does not come through the rectum, leaving the rectum preserved. TULSA has rectal and urethral cooling throughout the treatment to further protect these structures from any unintended heat.

Medical Financing Information:

LightStream offers a low interest rate when a patient needs financing for Medical Procedures, with loan amounts up to $100k. It is simple to go online and submit an application.

The loan proceeds are paid directly to the patient and they issue payment to Busch Center for their procedures.

Submit Application

TULSA Webinar

Would you like more information on how the TULSA Procedure works? Complete this form to watch a brief video of Dr. Busch explaining how Busch Center successfully uses TULSA with our patients.

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Have you been diagnosed with or treated for BPH in the past?

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Have you been diagnosed with or treated for prostate cancer in the past?

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How May We Serve You?

To learn more and discover if TULSA Procedure is right for you, please contact our friendly staff.