58 years old. Had my annual checkup and PSA was a 10.3, 6 weeks later it was a 9.7. a month later it was 13.7. I had an MRI, and subsequent MRI guided biopsy to confirm on my birthday Prostate cancer present and confined to the prostate. I was contemplating ablation and after meeting with a surgeon who does NOT do any ablation procedures, he recommended the prostate to be removed because of my age and it not outside the gland. He also said Focal Ablation and TULSA Pro was a "sham" procedure. I was stunned to say the least as I thought that was an option for me. After more research it looks like I will have the surgery to remove and del with the side effects as everyone else has. all the info is confusing when Dr's diminish one procedure or another as a sham even though they are performed every day on numerous people. I am curious if anyone else heard this about ablation techniques or Tulsa Pro type being a "sham" and not effective at all? This opinion was from John Hopkins BTW.