@khabib
You are a Gleason nine the sevens don’t matter. That is very aggressive prostate cancer.
You need to get a PSMA PET scan. A CT scan is a total waste of time, your urologist does not sound well informed about how prostate cancer diagnosis is done today.
The PSMA PET scan can tell whether or not the cancer has spread to other spots of the body. The CT scan cannot really do that properly. The Standard of Care is not a CT scan it is a PSMA pet scan.
If your cancer has spread outside the prostate, then you need to consider radiation instead of surgery.
While you are working with a urologist, you really need to move to a Genito Urinary Oncologist. They specialize in prostate cancer and would never have you take a CT scan with your condition.
If you mention where you live someone here can probably tell you about a good GU oncologist for you to go to.
If you can go to Mayo Clinic in Rochester, get an appointment with Dr. Heath she is a superb GU Oncologist for treating prostate cancer. You will get better treatment than your urologist seems to be heading toward.
@jeffmarc Thanks you so much. I live in northern Manitoba Canada, the nearest Cancer hospital is 800KM in Winnipeg. According to the urologist my biopsy report has been forwarded to an oncologist, but in the meantime, a bone CT scan has been requested at our general hospital. I told the urologist that I already have done 2 CT scans in 2025 for Diverticulitis, so another CT would be too much, but he said this is needed to look for any bone penetration of cancer cells. Now I am getting worried about it. Thanks for your well explained reply.