I don't think you contacted the right person to ask about Tulsa. The people to talk to about who qualifies and not are the people who do Tulsa Pro, and not somebody who does not. That being said we don't know your circumstances, how widespread and locations, etc - all those details may matter. I could say in my understanding, as long as your lesions are within 3 cm of the urethra that generally they may accept you. Some cases they might not due to some other factors, but one of those are not the criteria you listed which is gleason scores. Gleason scores are not a very good guide, because gleason scores don't speak about volume of say gleason 4 and so on. I consider that a major error in gleason system. I had for example one needle with all gleason 4 in it, but it was just 0.2 mm (not cm, but yes 0.2 mm) and they call that a gleason 8. One other needle of mine had 3+4 but no matter that one 0.2 mm made mine a gleason 8. It is a ridiculous system loaded with problems because of the lack of volume attribution.

All that said what I understand is some places doing Tulsa still use gleason and not distance from urethra, but other Tulsa places look at more details. So your best bet is contacting Tulsa Pro centers around the country to ask with more details in your case.

That is my best quick followup, in that you need to talk to probably multiple Tulsa Pro places. That may cost you a few bucks but likely worth it to check around, and I can't say for sure because details matter.

Late to reply....I had the TULSA procedure, and as I understand it, if the cancer has not spread out of the prostatic capsule, you are generally a candidate for TULSA. Some doctors have their limitations and preferences regarding the size of the prostate, and perhaps the proximity of cancer to some structures, so you need to visit Profoundmedical.com and look for doctors who specialize in TULSA, and ask them. Heavy calcification in the gland can be an issue, but I believe it can be addressed before TULSA. In some cases, if the cancer is not near the calcification, there are usually no issues.

UROs who do not do TULSA but other procedures are probably not the best people to ask about TULSA. Find a doctor who does TULSA and arrange a telemedicine or Zoom meeting if they are not nearby.

Good luck with whatever path you take. I had a TULSA in February, and my PSA in June was 0.10, so I am quite pleased with TULSA. I had a total ablation as I did not want to deal with this again in the future. My local URO said I made the right decision, as partial ablations using focal type therapies often result in the patient having to deal with cancer at a later date.