He is 79

Side effects were hot flashes from being on ADT for six months, It lasted for a year after ADT was stopped. Use Orgovyx for the ADT drug and your testosterone will recover quickly. Ask your doctor if he thinks it’s appropriate for you.

He had problems peeing so he went on Flomax and that resolved it. He had that problem for about a year, on and off.

Your monotherapy option sounds just right, But I am not a doctor. I have not reviewed your medical scans and documentation so I don’t know exactly what’s going on. If it’s truly isolated to the prostate, then SBRT works great for most people. At your age you have many more years before prostate cancer becomes an issue, there are so many treatments.