Well I started the thread let me give you my updates such as they are. You are in good hands with Dr Scionti, I really admire what he is doing. So much red tape runs medicine and he is giving a real option. I am fine, no long term side effects at all, none. My urinary stream is better, sexual function normal and these are things that cause a real lot of concern amongst people, believe me I know. Every once in awhile, like once a month if I carry a big box and put it down with pressure on the wrong area or something, or laugh too hard (politics is a good way to laugh hard) I lose a drop of urine, but it isn't common. Now keep in mind my problem was two fold, cancer and BPH. I had very much BPH and my prostate size was increasing, was at 110 cc on final MRI before Scionti. He gave me dutasteride for a few months before Tulsa, but anyway my BPH causes didn't go away. So that makes my PSA somewhat unreliable. If you are not dealing with BPH that is a real good, because it makes it harder to know where one is. I have just gotten a schedule for a 1 year MRI and followup in his office but Scionti is real busy so it got put in Jan '25 instead of Nov '24 which would be my one year. As far as side effects Tulsa is great, I have less problems now than before as my prostate size was getting to be a problem. I still had ok stream before Tulsa, but it is better now. Much lower ejaculate volume, but not a real issue. I consider Tulsa side effects real low. Those first few months I had to take alpha blocker, but again I had BPH but you may need that too, not sure.... Tulsa seems a real good option, Scionti is top notch. We will see in Jan '25 how the MRI looks as far as cancer concerns.