Giving you a prognosis of two years with a Gleason score of seven is almost malpractice. You need to find yourself a Genito urinary oncologist who can give you true information not false information. You may even need to see a different radiation oncologist to get another opinion.

People that had much worse cancer than you and are still alive 5+ years later.

Zytiga and prednisone will reduce your metastasis size and stop them from growing. That alone could give you another couple of years and there are drugs to use after that stops working.

Don’t be afraid of chemo, it is much easier to live with now than it was many years ago. There are fewer side effects than they used to be. It can extend your life along with Zytiga and Lupron. Have they talked to you about having Lupron or Eligard? You should actually be on one of them already.

Did your doctors at all discuss getting radium 223 which is designed to be used if you have a lot of bone metastasis.

Another thing that the doctors should consider is Pluvicto. It works very well to reduce many metastasis in some people that have cancer like you have. They prefer to do it after chemo, but that is not essential.

You can even get yourself a cold cap to put on your head to stop you from losing your hair during chemo. It’s the type of thing, you put in the freezer to get cold in preparation. Even Amazon sells them.

If radiation is truly not possible then surgery, a prostatectomy, would make sense according to a lot of doctors in order to stop your cancer from spreading more.

Have you been to a mayo clinic? There a number of doctors will review your case and give you advice that’s probably a lot better than what you’re getting now.