Gleason was 3+3(6), Decipher and Prolaris put me at low risk. MRI showed 1 tumor at .9cm, I had a 30 core transperineal biopsy with 9 cores positive, 5 cores were between 1 and 4 percent ( almost nothing ) and the other 4 were at the site of the tumor. PSA 4.6, CT PSMA showed no cancer at all, not even in the prostate, but biopsy and genetic study said it was there but mild. In one year, I grew a second tumor (likely due to finasteride) and had a mild abutment. Even as low grade as it was, I figured I no longer needed to be on Active Surveillance and chose the TULSA procedure in Dallas, Texas.

I saw a different Uro for a third opinion and he looked at a previous MRI and said I could probably go much longer and not do anything. But he also does DaVinci surgery so, he likely likes patients to wait and be force to have surgery.

No regrets on TULSA and if anyone have questions, do ask...I will be open with everyone about my experience.