I was diagnosed with stage 4 about 9 years after I started treatment. Had surgery and then 3 1/2 years later radiation but it kept coming back, now 14.5 years in. I became resistant to ADT nine years after I was diagnosed. I have been on Zytiga and then Darolutamide and my cancer has been undetectable for the last 10 months.

Your Gleason score is an important factor, mine was 4+3. I also had genetic testing two years ago and it turns out I have BRCA2, which explains why it keeps coming back.