Prostate cancer that hits young is often very aggressive and moves fast — mine was in my spine at age 56 before we even knew I had it — so any advice you read for older people with slow-moving prostate cancer doesn't apply.

Your husband is *very* lucky they caught this before it metastasised to his bones or organs. A prostatectomy removes 100% of the cancer cells in the prostate, but 0% of any cancer cells that have made it just outside the prostate — radiation will catch them (it spreads out a bit), and Orgovyx will likely pause things for a while, so that you have more time to figure out a long-term treatment plan.

I'd suggest that you go with the doctors' advice: hit it hard and hit it fast now, while you have this window of opportunity, and maybe it will never come back.