You said “ If SBRT doesn't work, prostatectomy may be good follow on.” And I am really wondering what you were talking about. If you have SBRT to the prostate You really can’t have a prostatectomy after, You can remove some excess tissue, but it’s been mostly eliminated.

Now, if you’ve removed the prostate, and you have metastasis come back that’s another story.

Mark Scholz who talks at all the PCRI Conferences, in the March conference, Talked about how he was strongly in favor of just using SBRT to treat metastasis. He talked in the last hour and a half of the conference If you want to see it on YouTube. He found that this works to give long term Remission to many of his patients.

In the recent PCRI conference, they mentioned the fact that the PSMA Pet cannot see Metastasis smaller than 2.7 mm. They have problems if they’re even 5 mm in some cases, reported a Doctor in a recent conference by UCSF.

SBRT radiation can handle smaller metastasis than 2.7 mm, If you can find them it can zap them.