@jayhall. DO NOT RUSH INTO A TREATMENT YOU WILL REGRET . Take your time , as recommended in Dr. Patrick Walsh's book : "Guide to Surviving Prostate Cancer ." Get 2nd or 3rd opinions . Educate yourself on all your options , including all the Focal Therapy options .
As has been stated many times on this forum . Surgeons ( Urologists ) will recommend surgery . It's in their job description -- Radiation Oncologists will recommend Radiation . BE EXTRA CAUTIOUS ABOUT HORMONE THERAPY (ADT ) AND ITS SIDE EFFECTS , WHICH CAN BE PRETTY ROUGH .