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When Gleason is reviewed the highest number is what counts. A Gleason 9 is supposed to have 24 months of ADT to try and prevent reoccurrence according to NCCN. You can do 18 months but it could leave you susceptible to reoccurrence sooner, though with the fact your cancer was isolated to the prostate the doctor may consider 18 months sufficient. Gleason 9 is very aggressive, you never know.
UCLA is an excellent place to go for treatment. If you want the best chance of a long life you should consider following their recommendations. The RO is not the one to decide. Your MO is the one you go to after radiation is complete, you may never need to interact with the RO again, unless you need a metastasis zapped.
I have been on ADT for 7 years, some of us can’t ever stop, 18 or 24 months can be done.
Good luck.
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Thank you jeffmarc for your response.
During my last appointment, my MO said I should probably stay on Orgovix for 18 months. He didn't think it will help much to stay longer. At that time my PSA was 0.1 not 0.10. I didn't know I have to ask for Ultrasensitive psa until my RO said that to me.
I will see what my MO will say next week with my PSA 0.06. I intend to stay on Orgovix as long as necessary and to err on staying longer!