Oligometastatic disease is less than FIVE lesions and
SBRT can deal with them. Unmentioned is the 'PSMA'
PET CT results for the Prostate itself. I do remember
a PCRI.org video on Brachytherapy 101. They commented that even Turped patients can be treated
as there is usually enough tissue around to focus the
permanent low dose seeds safely away from urethra.
The key is to find a clinician who has done many many procedures. What did the scan show on the prostate itself.