You read some real positive remarks about doing surgery, but I remember you wanting to be able to work at your restaurant as well as do stage work where you needed to be able to lift things that were heavy. No matter what kind of surgery you have that’s not going to be easy to do. Running the restaurant, however, would be a different story as long as you didn’t have to lift things. You could definitely get back into that restaurant within five or 6 days, As long as you didn’t have much physical stress. I did go back to work four days after surgery, but only went to three clients officers to work on their computer issues. That didn’t involve any heavy lifting. It does leave open the possibility you could get back to the restaurant soon though. I know that after seven days I was able to go back to work full-time and didn’t really have much in the way of limitations, Though I didn’t lift anything heavy for a few more weeks. I did go back right after the weekend, I could’ve gone back a couple of days earlier if it had not been a weekend.

When it comes to doing focal therapy, there are issues you need to consider. Many people after having a prostatectomy find out that their cancer is worse than they expected. If you have focal therapy, you will never know that, but your decipher score seems to imply there’s something more wrong than the test results that you’ve received show. It’s not high it’s very high almost at the top, Which is what makes me suspect there’s more wrong than you are finding out. They’ve already found that both sides of the prostate Have tumors, Maybe focal therapy is just not the right treatment. You can rely on the doctors to decide that, And maybe TulsaPro would make sense. You have to realize that only one percent of the prostate has been examined by biopsy.

I’m not sure you saw this, but this implies focal therapy is not the best thing for somebody who has a possibility of a serious case. Yes, if you have focal therapy, you can come back for more treatment, But that is not optimal for your job situation.

At the 11/1/2025 PCRI conference the following was said by Matthew R. Cooperberg, MD, MPH Urologic Oncologist UCSF

What about focal therapy?
* The energy modality matters much less than the accuracy of the imaging - which is not there yet.
* Overall focal therapy is associated with minor side effects, but high rates of recurrence both in- and out-of-field.
* Focal therapy is not really a replacement for surgery or radiation; it is better considered an adjunct to active surveillance

A couple of members of this forum have come up with some information that would make Surgery more attractive. I’m not sure what doctor they used, but it’s possible you could use the same doctor, Or find one that uses the same techniques.

I don’t want to tell you what to pick, just pointing out different considerations to think about.