What is frequently done is they will zap the metastasis with SBRT radiation. Usually only takes one or two visits. I had a metastasis wrapped around the L4 in my spine And they decided to do it in three sessions so they didn’t have to use as much radiation each time.

You want to see a radiation oncologist about what could be done to zap it. In some cases the growth is in a spot that could injure tissue that they don’t want to affect, So they won’t do radiation in that situation. At this point a urologist is not the only person you should be seeing. It’s possible they could zap it then you would not need to go on ADT as long as your PSA went back down.

Contact the radiation oncologist that did your initial treatments, They are the experts in this kind of treatment.

Going on ADT for six months to a year may be sufficient. The problem is it could come back right after you stop the ADT If you don’t trade it.