I had the space OAR inserted and ended up with an infection either because the doctor inserted it incorrectly or his needle penetrated the rectum. I was unable to start the radiation treatments (28 proton at Sibley Hospital in DC). I am currently on active surveillance which I have urologist agreement on. My Gleason score was 3+4 or 3+3 depending upon who reads it and my most recent PSA in February is 5.49. I am currently in analysis paralysis. At any rate the local hospital has stopped doing SpaceOAr as they have seen a number of failures. That surprised me as they initially pushed it. My local hospital does not offer proton hence my travel to another city. To make a long styshort the ballon method is what I would do should I start radiation