OK - some more information to make the following make more sense.

You may have seen my posts about multiple perianal abscesses over the last 14 months, and I am having bowel issues "This was most likely caused by damage from the 39 Salvage Radiation Treatments in 2015 " I am working with a colorectal surgeon and had an MRI last Sunday where they found a large fistula. I have not met with him since the MRI but believe he wants to get in there and am not sure what he wants to do.

My new Oncologist says:
There is not a huge rush to do something with the 1.0 PSA and these low-grade foci, He wants to wait and see what the Colorectal Team wants to do and wait until after that treatment is complete.
He thinks that the new node foci are either too far north or too close to where this surgery will be for any sort of radiation, but we will consult the RO.
He believes that some sort of ADT will be the course of treatment. He did mention 6-month belly shots, but I did not press him about what the alternatives or his recommendations are at this time.

Like I said this is a new Oncologist for me and I concur with what he is saying and we have a plan to revisit next month.