These people at KUMC are driving me crazy. I should have never asked this question, but I thought what the heck see what a national cancer thinks. I asked about getting the TULSA and this is the reply:
Dr. Duchene response says that you would not be a candidate for focal therapy, like HIFU or TULSA-PRO, because you have high risk prostate cancer.

Now why they are driving me crazy is the PA-C said in clinical notes+++> Re-discussed staging with Jerry--> cT1c; Unfavorable intermediate-risk prostate adenocarcinoma. No mention of high risk!

Then RO said Stage 2B prostate cancer is a localized, intermediate-risk cancer confined to the prostate gland, affecting more than half of one side or both sides. Again, no mention of high risk!

Some other notes from surgeon (Dr Duchene) have called it clinical stage cT1cN0M0 (which is not high risk- it's intermediate), but then as a side note he says: Biopsy confirmed extensive grade group 2–3 prostate carcinoma with 2 cribriform glands (which actually puts him in a likely higher risk category -- high risk prostate cancer), clinical stage cT1cN0M0.

In the same sentence he says, likely higher risk category -- high risk prostate cancer and then says cT1cN0M0 which is intermediate-risk.

I am still sticking with local guy for RP on May 7. Shouldn't have asked the KUMC surgeon. My guess is officially I am intermediate-risk, but with the 2 large cribriforms unofficially I am high risk.