@bdc1677
Same Gleason score. PSA was 3.75 but was rising with each PSA test. Had bone scan, Decipher test, PSMA which gave me a good feedback of stage and risk of my cancer.
Chose proton radiation based on research first and second opinion.

I still believe chose right option. I really do not have any long term side affects. I did during treatments and about a year after. These were frequent urnination, very urgent need to urinate. This lastet up to about a year afterward and has since returned to what it was before treatments. During treatments I did have some fatique about 3 weeks in. I also got the tan marks on sides of hips from proton radiation.

A lot has to deal with your age. Other medical issues. Quality of life you want. Mental anxiety and mental health. And regretfully are you close to an outstanding institution to get the get excellent care and the most updated and current treatments.

The only long term side affect I have is dry orgasm. Was told this was common. It has inproved though over time. My PSA tests after treatments has gone down from 3.75 to last test of 0.44. I am told that is excellent results at the one year mark.
Good luck!!!