@kaphur My TULSA was performed by Dr. Scionti. I wish you success with your treatment. I would definitely ask about TULSA. Your Decipher score will be very helpful. If it comes back very low, you may choose to keep watching your PSA and remain on the sidelines as that low grade stuff often remains in place. But, this should be a decision between yourself and your medical care team. I would encourage seeking multiple opinions. Prior to deciding on TULSA, I spoke with my urologist who strongly suggested surgery, a radiation oncologist who also suggested surgery due to the extent of my cancer and the grade, and I spoke with three well known doctors who perform TULSA. Considering our cancer appears to be low grade and often slow growing, you should have time to explore the options. Since I had Gleason 8, I pushed that process quickly. I wish you the best!