Your statistics are very much like mine were. I chose focal therapy with the objective of trying to balance efficacy of treatment with quality of life/side effects. While there isn't a decision tree to help choose the modality of treatment, one of the key parameter/requirements should be accuracy/precision of treatment. I would rule out anything that isn't in-bore, MRI directed, in real time. I chose TULSA-PRO for those reasons, although I am of the understanding that cryotherapy is also possible under MRI real time direction. Beyond that it is critically important that the procedure be performed at a center of excellence, best done in a hospital setting, and by a doctor who is highly experience in targeting. You want precision (good margins), you want something other than a store front (center of excellence) and you want someone who really knows what they're doing and has significant experience in having done it. That's what maximizes your odds for a favorable outcome in my opinion.