J.P.M. Sedelaar & J.J. Fütterer
Focal therapy of prostate cancer remains one of the promising treatment options for patients presenting with a localized disease. In this editorial we discuss an international study by Shah et al (2021) comparing focal treatment with radical prostatectomy. Although promising and provocative we think the manuscript does not contribute to the discussion whether focal treatment is a realistic option and we conclude that we need high quality RCT's to steer the discussion.