Sorry you have to take this journey. More info would be helpful. Do you still have your prostate would be a major distinction. What was your Gleason score and are there any other factors determining aggressiveness would be another. I assume you've had a PSMA PET since you know it has metastasized. Any genetic testing?

I can say in my case, surgery was not an option. I was immediately started on ADT/ARSI (Orgovyx/Nubeqa) and will begin IMRT to the prostate in a couple of weeks. I'm a Gleason 9 (5+4) with lymph mets in pelvis, abdomen, and chest cavity along with spinal bone mets. No mention of chemo yet other than being possible in the future. Each case and each Dr is different so your path may be different as well.