Mwarsha: like your husband, I, too, had Gleason 3+4. My PSA was 10.2 I had the MRI then a biopsy. I spoke with five radiation oncologists from 4 centers of excellence. Mayo has a great reputation and there are plenty of stories on this website about their success with prostate removal and Proton Therapy.

My research brought me down to either Proton Therapy (from Mevian) or the Mridian radiation machine from Viewray. I chose the Mridian. Unlike all other forms of radiation machines, including Proton, the Mridian has 2 mm margins versus 4 to 6 mm for all other types of radiation machines. That made a difference to me as my goal was to protect healthy tissue to encourage quality of life. The margins are how far out they radiate from the Prostate area. It is also the only machine that has a built-in MRI so everything is in real time and there is no fusion of imagery. I was encouraged to, and chose spaceoar gel to separate the rectum from the prostate by 1/2 inch. I found out about my cancer last October and started my radiation treatments in January. I had my five treatments finished in February of this year. The decipher test is helpful to test for aggressiveness and doctors use it for diagnosis. There is no doctor that can guarantee how quickly something will grow inside your husbands body and that concept pushed me into getting treatment as quickly as possible.

It is great that your husband has someone like you for support. Both of you might want to take one day at a time. It’s a process.