You have two biopsy that are cancer on one side, and a precursor on the other side. Most places at the get go offer the most aggressive treatments possible, and hardly mention the issues of those treatments. Some people are ok with that as they just want it out and be done, others want to see what else is available, but usually most centers/places you go never mention anything but the most aggressive treatments. Hard to say for sure, but that is the typical story, and with me. Even at Mayo you might be advised that, though they have some doctors doing focal and multi-focal treatments, almost always what is advised is the most aggressive. Prepare to have to go to 2 to 5 additional places, doing a fair amount of calling around, but often times there are dead ends. Let us know what they tell you, and how comfortable you are with the main two treatments RP (surgery) and RT (Radiation of some kind). I think more people are opting for RT of some kind, but prostate size and so on factors into that.

If your doctor mention the focal and multi-focal therapies that is a real plus for your doctor. There is also active surveillance in some cases, then there is a re-grading of the biopsy in some cases. It used to be people had slides mailed to Hopkins for re-graded but the main person is gone from there, so suggest Mayo or other if you want a re-grading.