@esteiny
As I mentioned my urologist wanted to do it transrectal. I said no and his reason was my cardiomyopathy. I got my HF and cardiology involved and they advised him there is not an issue with anesthesia. In my opinion it was just him trying to do it transrectal and not the additional involvment when done transpernial under anesthesia.

How long to get appt.: It took about 2 weeks to get the appointment after we resolved the type of procedure (only a couple of days as my HF doctor is Director of Heart Failure and Transplant and said no problem.
Is your urologist with Mayo: Yes
Wonder if it makesa a difference. Don't know but would in my opinion be restricted to referral for tests coming from Mayo doctors. I know second opinions are done there all the time but again that would be with a Mayo doctor.