Thank you grr256 for such through response. Our direction has changed; we opted for high dose at UCLA. Our radiation therapist thinks he has a very good chance of curing the cancer with radiation. His urologists agrees.
We had a very weird turn of events though...went to get the radiation and once he was under anesthesia, they discovered a false passage in his urethrae. They aborted the procedure and we are waiting a few weeks for it to heal. In the mean time they put him on a very strong hormone to shrink the tumor - Orgobyx. We do PSAs today and if it continues to go down, we will go and get the High Dose in May. If the false passage does not heal by then, we may opt for surgery. No one here will touch him, so it would have to be one of your doctors in the Midwest. We will cross that bridge at a later date. We are staying positive and his quality of life is fairly good.
Thanks again for all the feedback!