I have question regarding stage 3b prostrate cancer. In November of last year I was diagnosed with stage3b prostrate cancer. I was told that the cancer had not spread and that a radical prostectomy was all that was necessary. Everything I have read stated that stage3b has spread to some surrounding tissues. Just 6 months later I’m told that the cancer has metastasized and spread. My question is this. Should radiation and/or hormone treatments have been advised before the cancer went to stage 4? Thanks for any information.