I have had State IV prostate cancer for 11 years but didn't need treatment for the first 5 years because of low PSA. Started Lupron followed by about 7 treatments of docetaxal over the past 6 years. However the prostate cancer has entered my rectum and I am now scheduled for Pluvicto this week. Now having bowel problems and don't see much chance it will help the bowel situation but maybe I'll try it anyway. Not much to lose. I'm 79 years old and have been pretty lucky with my quality of life over the last 11 years, except for losing my wife to cancer 4 years ago, and have made the decision not to have a colostomy bag when that becomes necessary.