@bwparker
I looked at all my removal and radiation choices. I narrowed my choice down to Proton or the Mridian radiation machine because it was one of two machines in the marketplace (The Elekta Unity being the other) that had a built in MRI so everything the doctor treated was in real time so the margins around the Prostate that exposed healthy tissue were less (2 mm vs 3-5 mm with most other radiation machines including Proton). That meant fewer side effects and better quality of life.

I was treated with 5 doses and finished in February of 2023. I was 69 with 3+4 Gleason, low Decipher and cancer was contained in my prostate. Get pre-prescribed for Flomax. After the third treatment, I had greater urine restriction which Flomax took care of overnight. Be aware that they will be checking the amount of liquid in your bladder as they need to balance the help you get from it being filled and away from your prostate and your comfort level. They can see that in real time as well because of the bult in MRI. Have a plastic hospital type pee bottle in your car as a temporary side effect for me was having to get to the bathroom faster for a while and I was happy to have it. Do get Spaceoar or one of the gels inserted to try and avoid any rectum damage.

Also, ask questions about why they choose a specific machine or treatment. Every institution has its own protocols and process for their choice and given that most choices, they say have equal outcomes, demand for a doctor or a specific type of machine can impact whether you get your choice or not.