Seeking advice on treatment options
55 years old and otherwise in good health. No symptoms and very active lifestyle. Been on AS for 10 months, currently under care at Mayo MN. Original pathology after routine physical Nov. 2022 found PSA @ 7.6. Blind biopsy found 2 cores positive with 20% and both diagnosed 3+3=6. Sent to Dr Epstien for 2nd opinion and he upgraded to 3+4=7. Switched from Local docs and went to Mayo. Went back to Mayo 2 weeks ago for bloodwork, MRI and targeted biopsy. PSA 8, targeted biopsy found 5 of 17 cores @ 3+4=7 with up to 80% of cores positive and all 20 to 40% grade 4. Also new is perennial invasion. I am ready to treat it now and looking for thoughts from guys that have been treated. Options on the table at Mayo are surgery, OBR and seed implant/brachytherapy. I am leaning toward seed implant/brachytherapy. I am also considering Tulsa Pro. I understand that I would have to pay out of pocket for Tulsa but if the technology is superior and will increase odds for better quality of life, I am OK with that. I have read many books and research studies constantly and finally just looking for thoughts from those that have lived it. I have a conf call scheduled in 2 weeks with the docs and will make a decision that day or sooner. Thank you all so much. GOD BLESS US ALL!