@islander2025 - I will keep you in my thoughts and prayers.

I am not an MD but my best advice is find your way to an academic center of excellence (major multidisciplinary university medical center) that deals with a lot of PC.

I was lucky my son works as an anesthesiologist at such a place and found me the best surgical urologist and radiation oncologist both willing to treat me.

Wishing you only the best!