I just finished my 1 year anniversary after receiving 2 treatments of Lutetium PSMA in Germany. At 3 months, my PSA was non-detectable, at 1 year it is currently 0.09 and I am watch/wait. The only side effects have been a little dry mouth. The radiation seems to migrate to saliva glands in the mouth, and they take precautions to limit this, but that was the only issue I had. Every cancer case is different, I had Gleason scores of 9-10 in all prostrate biopsies, and had surgery to remove the prostrate which indicated it had spread outside the margins. A PSMA scan showed over 7 tumors in my lymph nodes. The scan 8 weeks after treatment showed no tumors. After surgery, this was my first course of treatment. I did not elect to try any others. I am looking for locations in the SE US that are now providing this treatment if I have to get a second round.