The ability of simultaneous vaporization and coagulation offers a simple and safe method with a minimal to non loss of blood. The laser procedure can be performed on an outpatient basis under local anesthesia or even without anesthesia and offers the advantage over the previous standard procedure that general anesthesia can be omitted.

Non-muscle invasive bladder tumor normally has a high recurrence rate, leading to multiple treatments. Elderly patients with multiple morbidities are not fit for conventional treatment under general anesthesia. TULA^® DUAL offers a technique using flexible cystoscopy for the treatment of bladder tumor under local or even no anesthesia in outpatient settings.