I think you should be more concerned with short time To metastasis. You have all the signs of the cancer metastasizing. Yes, you Probably would become castrate resistant sooner than other people, But the proper treatment might delay that.

You are way past dealing with the urologist. You need to get yourself an Oncologist that specializes in prostate cancer.

I can’t believe they’re not doing more with you having Gleason nine, intraductal and cribriform.

A few weeks ago at the weekly Advanced prostate cancer Ancan.org Meeting two people with Gleason, nine were discussing the problems that we’re having with metastasis. Neither of them had had the cancer for long but had multiple metastasis and were unsure about where to go next in treatment. This isn’t the first time I’ve heard this in the meetings, It’s not a common occurrence, but it’s not unique.

I was at an online meeting discussing new Gleason score Changes and issues with cribriform.
Here is a graph from that meeting, and you will notice that those with a five in their Gleason score had extremely high chances of metastasis and shorter overall survival. Be proactive!