Tulsa Pro is ablation, but it's different. It can be used to treat just a portion of the glad or the whole thing. There are several types of ablation. Tulsa is similar to HIFU, both use ultra high frequency but HIFU is done through the rectum and uses ultrasound to guide it. Because it's further away from the prostate, it can be difficult to reach all areas of the prostate. Tulsa is done through the urethra, and is cooled to protect the urethra. Since it's in the middle of the prostate, all portions can be abated and it's guided in real time MRI. They avoid the rectum, protect the urethra, no radiation, no cutting, real time guidance. There are negatives. Cost, anesthesia, less evidence. Oh and it can also be used to treat symptoms of BPH (difficulty urinating). In your search you'll find plenty of guys who have had good outcomes with all procedures. To me, it's all about the odds. From what I've seen, side effects from Tulsa are almost zero. And yes, unfortunately, I believe that clinics will steer you towards what they have and what they are most familiar with. Use the internet to do tons of research. It's hard in the beginning, but eventually all of the terms and acronyms will become more familiar. You found a great resource here.