@stew80 @ecurb

I agree with ecurb I would suggest a second opinion. Are you anywhere close to a major medical facility like Mayo, Cleveland Clinic, John Hopkins, UFHPTI, and many many experienced and outstanding medical facilities.

You can always asked for a second opinion from them. Most of the time you just have your medical records sent to them and they can do a second opinion on diagnosis and treatment options. Sometimes they want additional test done.

Age these days means a number. People live a lot longer than in past. Prostate cancer has gone through some many advancements in both diagnosis and treatments that it has become a specialty with many new and improved treatments.

Did this provider give information on Decipher tests, PSMA, etc. They really help define the risk level of your cancer and whether evidence of spreading.

The Space/Oar or gel is a widely used option. It pushes the colon away from prostate. That helps reduce radiation on the colon. Did you doctor talk to you about difference in photo and proton radiation. With proton radiation the Space/Oar can be real plus.

I had 30 rounds of proton radiation with minimal side affects. I would think hormone treatments would come with much more severe side affects that you will have from radiation.