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Elevating Prostate Cancer Care with Expertise in TULSA-PRO

Dr. Ayyagari, pioneer of the TULSA Procedure at academic institutions in the Northeast has joined the HALO Precision Therapeutics team in Sarasota, Florida.

Schedule with Dr. Ayyagari

“For the quality care you deserve, request an appointment with me, personally. I will work with you to customize a treatment plan to meet your unique needs.”

A customizable, predictable, and incision-free procedure.

TULSA-PRO allows our physicians to tailor the prostate ablation to each patient.

98% of men

Reported preservation of erectile function at 1 to 2 years1

98% of men

Reported preservation of continence and were pad-free at 1 to 2 years1

87% of men

Reported maintenance or recovery of erectile function at 4 years3

100% of men

Reported continence and no men were incontinent at 4 years3

1. Lumiani, et al. “Single center retrospective analysis of fifty-two prostate cancer patients with customized MR-guided transurethral ultrasound ablation (TULSA)” Urologic Oncology (2021)
2. Klotz, et al. “MP46-03-Pivotal trial of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer: Three-year follow-up”. The Journal of Urology Suppl (2021)
3. Klotz, Laurence. “MRI-Guided Transurethral Ultrasound Ablation (TULSA): Not just another focal therapy.” September 2022, PowerPoint Presentation.

Dr. Raj Ayyagari, Interventional Radiologist

Widely recognized by his peers. Loved by his patients.

Dr. Ayyagari received his Bachelor of Arts in Behavioral Biology from Swarthmore College in 1996. After that, he served in the Peace Corps for two and a half years, working in Ecuador’s Andes mountains and Amazon rainforests. Driven by his passion for providing medical care to those in need, he pursued a Medical Doctor (M.D.) degree at Yale School of Medicine, which he completed in 2004. He then underwent rigorous training, including a two-year Urology residency at the University of Washington, a Diagnostic Radiology residency, and a Vascular and Interventional Radiology fellowship at Brigham and Women’s Hospital/Harvard Medical School in Boston, MA. His comprehensive training culminated in 2011, and he went on to become an Associate Professor of Interventional Radiology and Urology at Yale, where he served until 2022. In August of the same year, he returned to Boston where he is currently Associate Professor of Radiology at Boston University School of Medicine and staff Interventional Radiologist at Boston Medical Center.

Renowned urologist Dr. Ayyagari brings valuable experience to the HALO team of treating physicians.

  • Board-certified Interventional Radiologist
  • Started and developed the TULSA program at Yale University
  • Associate Professor of Interventional Radiology and Urology at Yale University
  • Associate Professor of Radiology at Boston University School of Medicine
  • Widely recognized for his academia
  • Expert in PAE (Prostate Artery Embolization)
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Tulsa Pro Doctor

What is TULSA PRO? A minimally invasive treatment for malignant and benign tissue.

TULSA PRO, or Transurethral Ultrasound Ablation of Prostate, is a revolutionary, radiation-free, and minimally invasive procedure. It’s tailored to each patient’s unique anatomy and prostate condition, with meticulous pre-procedure planning by physicians. During the procedure, active cooling of the urethra and rectum safeguards nearby critical structures, minimizing the risk of side effects. This personalized approach offers a promising solution for prostate treatment with reduced risks and optimal precision.

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Dr. Ayyagari’s Patients Share Their Stories

I am a 66 year old cardiologist and have had issues with BPH for many years. I was reluctant to proceed with any procedures as I was concerned about some of the complications and potential course of the procedures. I chose to have PAE due to its benefit for the large size of my prostate, the low risk of bleeding, incontinence, erectile dysfunction, and need for a Foley catheter. Dr. Ayyagari performed the PAE procedure in February, 2022 and I am very pleased with the results. Everything went smoothly and my symptoms are much improved. My International Prostate Symptom Score went from a 22 down to 5. I highly recommend Dr. Ayyagari and the PAE procedure. His diligence and attention to detail before, during, and after the procedure made me feel very comfortable with my choice and helped me to feel that it would all turn out as well as it did. - August 01, 2022
Dr. Ayyagari is the best! During my first meeting, along with my wife, Dr. Ayyagari had explained the PAE procedure and answered all our questions in detail, with patience and compassion. After the procedure, he responded to any of my concerns expediently. During the PAE procedure, he was reassuring and the results have immensely improved my lifestyle. When you have Dr. Ayyagari as your Interventional Radiologist, you not only have an experienced medical professional, but have someone who is humanistic and cares greatly about his patient. I would highly recommend him. - July 13, 2022
Prior to receiving PAE I suffered for years with obstructed urination and many waking nightly visits to the bathroom. One day after Dr. Ayyagari performed the PAE I was able to urinate freely and sleep through the night. That was four years ago. Needless to say, I am extremely grateful to Dr. Ayyagari for greatly increasing my quality of life. Also, Dr. Ayyagari is a fantastic human being. - July 13, 2022
Excellent physician, great communicator. Dr. Ayyagari was a remarkably skilled clinician in the face of a technically challenging procedure in my case. He was thorough, a great communicator and a sincerely concerned caregiver before, during, and after the PAE procedure. I am pleased that I chose to travel from Washington State to New Haven for his care. I am pleased with the overall outcome, although I had several unusual complications: some aberrant pellets caused small, painful ischemic lesions. These healed without incident in about a week. I also suffered a period of complete erectile incapacity shortly after the procedure. This resolved slowly over the course of 3 to 4 months. Through all of this Dr. Ayyagari remained accessible, engaged, and helpful. Ultimately, my IPSS score dropped from 27 to 15 and my prostate shrank from 82 to 39 mls. I am glad I chose the procedure and very glad I was able to have Dr. Ayyagari perform it. - July 13, 2022
I had the treatment done and it change my life. My quality of life changed so drastically, I'm feeling like a new person. No more getting up late at nigth or run to the bathroom because I can't hold it. Thank you Dr. Ayyagari for your compassion and care! - July 13, 2022
Very compassionate and knowledgeable. From the very beginning the Dr was very knowledgeable and I never felt like he was rushing me in any way with his explanation of whatever we were speaking of about my care. He always took whatever time was needed for me to fully understand medically what was going to occur both prior to and after... - July 13, 2022
Thank you Dr. A! I suffered from extreme BPH. My urologist listed TURP or Prostatectomy as my options. To the urologist's credit, he also mentioned a "new procedure called a PAE" but added "it's experimental and can't be done by a urologist so I can't really recommend it." Well, given the nasty potential side effects of TURP and Prostatectomy, I did my research on PAE, which lead me to Dr. Ayyagari. And I am so glad I did! I had my PAE in February 2019 and my International Prostate Symptom Score went from an "unhappy" 24 -- while on Tamsulosin, (aka Flomax) -- to a "delighted" 2 -- with no Tamsulosin. Dr. A was always available and responsive post-procedure. And three years later, still all good. Thank you Dr. Ayyagari! You improved my life so much that whenever asked, I tell everyone "No to TURP, yes to PAE by Dr. Ayyagari!" - July 13, 2022
Dr. Ayyagari provided the best care. He was attentive, thoughtful and caring. A positive outcome was had. - July 12, 2022
Excellent Doctor, explains procedure thoroughly, very enlarged prostate with bleeding frequently, this procedure stopped the bleeding, no side effects, no down time, no pain, excellent procedure for enlarged prostates. If you want the best doctor for PAE, see Dr. Ayyagari. I would travel from out of state to have this done by him. - July 12, 2022
I had an outstanding experience with Dr Ayyagari. He spent a lot of time with me and my spouse - answering all our questions. The PAE procedure started and finished on time. I had next to no post procedure pain and my symptoms started to improve after just one week. They are still improving after almost four months. - July 12, 2022
Outstanding man and physician. Dr. Ayyagari’s concern for one as an individual, not as a disorder, is impressive. Rarely does one meet a professional both so skillful and humane. His procedure with me did not change my life, but it certainly changed my sleep! Clear explanations, patience and excellent follow up are his standards in addition to surgical skill. One is fortunate to have him as your doctor. - July 12, 2022
I want to thank Dr Ayyagari for bringing my prostate health back to normal. It has been over a year since I had the PAE procedure and my urine flow is at a 9 out of 10. Prior to the procedure I had constant urinary infections and my urinary flow was not good at all, I was up several times a night and I was looking at a catheter. I would not hesitate in choosing Dr Ayyagari for this painless procedure. I HIGHLY recommend him!! It is truly life changing. - December 05, 2020
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If you would like to discuss your diagnosis, treatment, or if you want to know more about Dr. Ayyagari’s experience, please set up a consultation.

Locations

Clinic Address:
725 Albany Street, Suite 3B
Boston, MA 02118​

Office: 617-638-6646
Fax: 617-414-1698

Raj.Ayyagari@BMC.org

HALO Prostate Cancer Treatment Locations

Scionti Prostate Center,
Sarasota, Florida

Jacksonville Men’s Health,
Jacksonville Beach, Florida

Prostate Laser Center,
Houston, Texas

HALO Precision Therapeutics,
Indian Wells, CA

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