Since you have 2 Gleason 8 cores you are a Gleason 8. The other symptoms mentioned imply the cancer has gotten outside the prostate. You should ask your doctor if you can get a PSMA Pet scan ASAP. CT and bone scans are ok but the PSMA pet scan replaces both of them and produces much more useful information. If he doesn’t agree, go somewhere else.

You also want to get a PSMA pet scan so you can have a baseline from which other scans in the future can be based.

This is treatable and you could live MANY years. You just need to be proactive about getting optimal treatment.

Speak to your doctor ASAP but you are in need of a medical center of excellence, like Mayo, to make sure you got the best treatment, since you’ve got a complex case. If you are not near a Mayo Clinic, let us know where you live and we can give you some information about where to go.