Not rushing to surgery, but my husband managed to get an appt with a local superstar surgeon . We're in a large city with many options but don't want to give that up. Even one rad oncologist pushed my husband toward surgery because of high risk/aggressive and enlarged prostate.

I started thinking about proton therapy after I saw some success stories on this site and elsewhere on the web. But there seem to be no studies or other data about results for Gleason 8. My husband is adamant about avoiding ADT and has several friends with good RP results (cancer free w/ minimal side effects), with the surgeon he chose. Meanwhile, have reached out to a proton center nearby as well as to Mayo. Will report back.