That correction was important to your diagnosis. My Decipher went the other way. I was intermediate (3+4=7) downgraded to low risk. So did not need hormone treatments.

The hormone treatments do not kill prostate cancer (from my R/Os). The stunt it. The prostate cells love testorone and by starving them of it they don't grow as much as they would without it. Some get greater stunt of the growth than others.

Most of all prostate cancers are slow growing. It is why it has such a high cure rate for 5 years. But some forms are very aggressive and if it has spread outside of prostate that is another level of cancer.

Have you considered traveling to a center that has the equipment and facilities you want. Many places have programs for those coming from out if state and will assist with lodging, etc.

I drove an hour instead of 25 minutes 5 days a week to get proton radiation at UFHPTI. For me the extra time was worth it if I could lesson the probability of radiation damage that proton radiation offered above photon.