Focal Laser Ablation(FLA) with Dr.Karamanian, 6 months update

It's now 6 months after my FLA, I went for FLA because I had severe BPH problems with potential bladder deterioration and I was Gl4+3. I investigated FLA other FLA practitioners and decided on Dr.Karamanian after watching the last 3 years as his FLA practice and expertise developed. I am very glad I decided to have him perform FLA. So far results are excellent, my PSA prior to FLA was 10.3, 6 months after FLA is now at 0.6, my IPSS as far as BPH was at 25, now is 1, only because I need to pee once overnight. My average urine flow 3 months after FLA was 13.6 ml/sec, 4 months after was 16.6ml/sec, I have no urgency, frequency is normal, every 3-4 hrs.
I have no ED, never had any issue in this department, I am fully continent. My most recent prostate 3TMRI as part of 6 months follow up, was carried out and reviewed independently by another radiologist who confirmed I have no residual cancer left, Dr.Karamanian says the same. Thank you, Doctor and Nurse Donnie, you are a great team.

the prostate volume before FLA was ~60cc, 6 months after FLA was 24cc, in 2016 I was Gl6, with one core 10-15%, in Feb/18 Dr.Busch biopsy showed all clear, but my PSA was growing to 10.3 in the last summer, in Sept/19 Dr.Karamanian took 4 cores just before FLA and later pathology showed Gl4+3, 4 cores with 50%, Gl4 90%, the location was Right Base, Grade Group 3, I went for FLA mainly because my BPH symptoms were getting worse in the spring last year, at that time I was still in AS, with Gl6, but I suspected it could be worse, as Busch biopsy was inconclusive, I am glad I decided to move ahead, as Dr.Karamanian's pathology showed, I was now Gl4+3, should I wait longer, it could get worst, I had 10 ablations for BPH and 5 for PCa, overall I am very pleased, I should mention I got RE, after FLA, but I had this before when on Flomax, recovered most of ejaculant when switched to Alfuzosin, I don't consider this big issue, for great benefits I gain with FLA, hope this last. Otherwise, Dr.Karamanian's service and his attention are excellent, I had minor issues with some UTI after FLA, but it was likely related to self cathing, and possible Foley, that I had to keep a bit longer, but had no other infections or other complications.