@clandeboye1
I had 30 rounds of proton pencil beam radiation treatments at UFHPTI.
After my Decipher test came back low risk, my PSMA was negative, and my bone scan was negative both Mayo Clinic Jacksonville and UFHPTI recommended radiation only and no hormone treatments.

Mayo originally suggested to add hormone therapy. However again after Decipher, PSMA, bone scan it was changed to radiation only. I got my second opinion on all tests and recommendations at UFHPTI.

Hormone treatment does not kill cancer it drastically slows the growth and thus a better outcome if you have agressive prostrate cancer or has spread outside the prostrate gland. This goes both for surgery and radiation treatments. This statement comes from my R/Os not my opinion.

I went with the recommendation of both R/O. Mayo and UFHPTI who recommended same. Mayo Jacksonville does not have proton radiation so went with UFHPTI which does and has been a major institution doing proton radiation since 2006. It is quite a modern facility with 5 proton radiation gantries (which means 5 different treatment rooms). They offer a wide variety of protron radiation treatments and for many types of cancers.

FYI: Jacksonville Mayo is building a new cancer center that will have proton radiation.