With the aggressive issues, you have getting salvage radiation and going on ADT sound very reasonable. The question is, is four months of ADT enough. NCCN almost never recommends less than six months.

Was your Gleeson score 3+4 or 4+3? I know if higher, they would usually recommend at least 12 months of ADT.

There is a real issue with the combination of cribriform and intraductal. There doesn’t seem to be any treatment that handles both of them with complete success. They almost always end up with BCR, Which is where you are now. If you had Small cribriform Then it’s a lot more successfully treated than large cribriform. Did you find out from the doctors after biopsy which you had?

Sounds like you’re going to the right place, Hopefully things work out well for you.