Thanks for sharing your information. The fact that you have three identified lesions, two of which that show intermediate risk disease makes me believe that whether you would be treated with Brachytherapy (seeds) or TULSA PRO (specialty HIFU) your care team is going to want to treat the whole prostate and not just lesions within the prostate. I understand your interest in the TULSA PRO procedure to preserve sexual health and avoid incontinance. I looked into it myself and was unfortunately was not a candidate. Here’s a link to more information about it from a source I trust:
https://youtu.be/TjdV5qAEbdA?si=oQ6yK7ByAnSIpg1Q

The question I would be asking my prospective health care provider is “what treatment options will be available to me if Cancer returns. For example ifyou have RP and cancer returns you still have radiation, ADT, and chemotherapy available to cure or manage it. If you choose radiation for primary therapy then surgical removal of the prostate is typically off the table and often additional radiation to the prostate and the prostate bed is off the table as well leaving only ADT and chemotherapy as salvage treatment options. I’ve read numerous published medical papers that plainly state that primary treatment for PCa fails 30% of the time or more so it’s always in your best interest to understand what your options are should things not work out the first time.

Best wishes to you for good health and a cure!