I’ve had stage 4 PCA for>20 yrs. with bony Mets for 10 years. No visceral Mets. From several hormones threrapies, chemo. , radiation to radium 223 and now Pluvicto. Also had PROVENGE 6 years ago and xgeva also.
So I’ve had every treatment modality ( they may still recommend more chemo other than docetaxel).
I plan to be around for awhile but no one can prognosticate as everybody is different. My PSA is still >100 but has come down from 400 on Pluvicto.
You have multiple options at this point but be confident that many men are alive after 20 years of stage 4 disease. Hopefully you can get relief of your pain with further treatment or pain medications.
You’re not alone with this disease.