@solar4ever Unless it is extended out of prostate, do talk to all the focal doctor experts which by the way they can take out most or just about all of the prostate if need be. You can do many options, not just the standard two offered even in small cities in US. You can go for Brachy, Tulsa, Cryo, etc. These are all good options. All those other things people talk about with lots of verbiage are often used to push people to the standard two option, so unless there are really reasons, call around and get as many as possible appointments. Best advice is do it fast as it takes time to get in, you can always delay your procedure if need be, they can do those RP's anytime and anywhere in US. Many times you will have to travel to get the other options, well worth it. Don't bother just with some big name medical center, some big names offer standard two options that are offered in small cities, so don't just go for a big name, go where they are experts in more than two options. However, Mayo is a big name and they have it all, many options available though you have to get to the doctors with the other options so look up doc and ask for ones that do other things. I had Tulsa, and Cryo.