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.