Finally the journey begins for me....

Officially started treatment today after several months of 2nd & 3rd opinions, video consults with Dr Scholz, and endless hours of research. I just took the initial dose of 3 Orgovyx pills (4-6 month course). Will be traveling from NJ to CA (UCLA) in Sept to have Brachytherapy procedure with Dr Chang then have 5 SBRT sessions back at home. Here are my stats:

Age: 69, PSA 35, Gleason 4+3 Grade 3

MRI:

FINDINGS: PROSTATE GLAND: measures approximately 5 x 4.4 cm corresponding to a volume of 45 mL. PERIPHERAL ZONE: No evidence of prostatitis. CENTRAL GLAND: Moderate changes of BPH. Lesions 1 PI-RADS score: 5 Location: Right TZ Mid at 11 o'clock Max dimension: 3.66 cm (slice: 14) Volume: 9.492 ml Extraprostatic extension: - none
Extraprostatic Tumor Extension: Slight bulging of the prostatic capsule but no visible tumor extension beyond the capsule. Neurovascular Bundles: Normal. Seminal Vesicles: Normal. Urinary Bladder: Normal. Pelvic Lymphadenopathy: None. Pelvic Osseous structures: No suspicious osseous lesion identified.

TransperineaL Biopsy , 17 cores 14 cores benign, 3 cores from same area (transistion zone) (50-60% pattern 4)

(2nd opinion on slides reviewed by chief pathologist at Univ of Penn who concurred with original findings)

PSMA:
1. Marked PSMA-avid disease in the prostate consistent with biopsy-proven prostatic adenocarcinoma.
2. The minimally PSMA avid largely symmetric pelvic lymph nodes are favored to reflect reactive/inflammatory uptake. No suspicious PSMA avid lymph nodes identified.
3. No radiotracer avid distant metastases

Prostox text for SBRT late term toxicities: Low Risk

Thanks to everyone for the great information shared on this forum and sure I will be posting in the near future for support. Prayers for all!