@survivor5280 It sounds like you are being real proactive at pursuing the same two options (RP and radiation). However and again, if you want other options. you have to be pro-active in pursuing other options, none of what you listed will provide any insights into other options, and you may burn out just pursuing the same two options. It is up to you but you may want to cancel some of that and put some efforts outside the same options.

I wanted to give you links where you can look up where to do Tulsa. Just keep in mind academic places doing Tulsa limit who they accept because they are generally doing limited studies of 3+4 only for publications.

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Tulsa
https://tulsaprocedure.com/find-a-tulsa-pro-center/
https://tulsaprocedure.com/
If wondering about Tulsa Pro from a science point of view, here is a basic Tulsa science overview article
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231661/
Conclusions:
“As an alternative to conventional treatments, TULSA is safe and effective for prostate tissue ablation in men with primary PCa. There is also evidence that TULSA delivers effective relief of urinary symptoms while treating PCa in a single, low-morbidity procedure. The likelihood of freedom from additional treatment or potency preservation is associated with the planned ablation fraction.”