I was 62 at Tulsa Pro treatment 2.5 months ago, now 63. Yes Tulsa is for BPH and localized cancer, perhaps the difference is Tulsa produces ablated tissue that can take up to 6 months to re-absorb so the BPH relief is slow and you may need alpha blocker for several months to 6 months still. I was told by the Mayo doc Rezum is quick, easy, and likely works well for my case, but he would go over more after my biopsy plus the alternatives. I never got there. The Tulsa recurrence rates don't differ that much from more radical treatments, but are slightly higher. That means utilize a guy that has done a lot because they know how to do the temperature at target lesion right, so that means they really work closely during procedure with a radiologist right there and a full team running the MRI and all. Tulsa has a medicare code already. It will be fully rolled into billing next January or a year from this writing, a rare few insurances cover it already but I can't tell you which one just a few people said they got it paid somehow in my reading. I think some doctors lean into new treatments, getting up to speed right away, plus have a setup with an MRI that isn't time limited and so on. Other doctors lean into traditional treatments so they don't have to bother with all that. As long as the one you select knows what they are doing is the best standard.