Gleason 8 diagnosis at 51: Likely opting for surgery

I had my proton radiation treatments during April-May 2021 (with 6 months of Eligard and SpaceOAR Vue injected).
> Side-effects from the proton radiation —> I only had 1 day of adverse side-effects during my 28 sessions of proton beam radiation treatments. On the 3rd day of treatment, I had urinary issues. My RO told me that with some men there’s an inflammatory response to the radiation, and if that inflammation is near the urethra can cause the issues that I was experiencing. He recommended that I take 2 Tamsulosin/day for the remainder of the treatments. Everything cleared up by the next day; I haven’t had any issues since. My “recovery” from radiation treatments was uneventful. (My wife later told me that if she hadn’t known I was undergoing radiation treatments, she wouldn’t have realized it from any change in me. The short amount of time that I was gone each day for treatment were no different than any other time when I simply left to go shopping or to the gym.)
> There are currently 46 operating proton centers in the U.S.: https://www.proton-therapy.org/map/
> If you have to travel for treatments, Hope Lodge communities across the country provide a free place to stay during treatment so people with cancer can focus on getting better. —> https://amp.cancer.org/support-programs-and-services/patient-lodging/hope-lodge.html
> At treatment, I had PSA of 7.976, localized, Gleason 7(4+3).