I am 82 and cancer recurred a little over a year ago. Have both Urologist and Oncologist treating me. Psa had a quick rise from >0.0 to 20.8. Urologist wanted a PSMA PET scan and prostate biopsy. Scan showed possible contrast rise in lower right rips. Possible cancer metastasized but not sure. He scheduled another scan with same results and psa continued to rise. Called in Oncologist and not sure if cancer has metastasized. They scheduled CT's with IV contrast to chest and abdomen. Abdomen clear but chest showed what us believed metastasized cancer on lower right ribs 7 and 9. Oncologist wants to start hormone therapy of Cadodex for a month then Lupron (6 mos) injection. Started Casodex and shifted Cancer Centers to be closer to home. New Oncologist changed Casodex to Apalutamide daily and Eligard. Insurance would not cover Apalutamide only Xtranida (backorder). Then after 2 PSMA PET and 2 CT scans Urologist wants another PSMA PET scan. Where I stand niw is on daily Casodex, Eligard injection (6mos) injection on 9 Jan, and 3rd PSMA PET scan on 10 January. Then won't see both Urologist and Oncologist last week in January. Psa has gone from 20.8 on 9 November to 2.7 on 13 December. That is where I stand. So far feeling great with no pain. Seems that everyone I communicate with had different treatments fir advanced/recurred Cancer. Hope you are doing well.