Thank you. I wish you both all the best at a difficult time.

My case is atypical — my spinal lesion had grown rapidly and left me paraplegic — so I had emergency debulking surgery and spinal fusion, followed by post-op radiation.

In your husband's case, best practice these days (as I understand) would be to radiate the individual spinal metastases if there are only a couple of them, or treat them with chemo and/or Pluvicto if there are many.

That's in addition to taking ADT (like Orgovyx) and an ARSI (like one of the -lutamides) indefinitely to slow or stop any future progression, and having radiation to the prostate itself to treat the primary cancer.