Metastic prostate Cancer Survivors - longevity and quality of life

It would be a tough decision but you might want to look into a colostomy. At least it would allow you to be more mobile.

Edit above
Its a 3T MRI 100% more power 15,000 units of magnetic strength higher quality images for accurate diagnosis 3 dimension visibility for larger view and 50% faster 15 min screening versus 30 for shorter wait times for patients $2.9 million CDN
Plus private donations also got CVH Credit Valley hospital or Trillium Health Partners a improved linear accelerator LINAC for Hyper Arch technology for precise radio surgical treatment for multiple brain metastasis treated in a single visit dropping time from 40 minutes to 4 minutes
see trilliumhealthworks.ca Maybe Mayo donors can get one each of these if not already

Yes At 78 now on Xtandi and PSA dropping fast from 9.8 to 4 in a month Still on Zolodex Radiation Oncologist will not nuke L1 as its too close to L2 that was radiated 2 years ago yet says I should have 5 plus and more Medical oncologists says if Xtandi or Enzalutamide stops its affect then there are many more options 2018 had 40 radiation 2020 MCSPC and @)@# MCRPC hence Enzalutamide added So already 5 good years and more should be there with wife grandkids Prayer and enjoy every day

I love this question and all its replies. We are a very distinct collection of men. We've all survived a difficult prostate cancer diagnosis. We wake up each morning facing an abundance of uncertainties in our own lives. Yet, we are here offering caring support to each other while providing hope to the sometimes hopeless moments.
Bless us, all.

yes I appreciate your comments. I am wondering too much but the idea of 10 yrs seems ok sometimes and others not so much . QOL is a slippery fish .

yes I appreciate your comnets a lot. I wonder ,often too much, but the idea of 10 years seems ok sometimes and others not so much. Quality of life is a slippery fish. I am undecided at this point,

My guess is that the truly uncontrollable painful time will be rather short and when and if that happens, hospice and drugs will ease me along . Also, I have the right to ask my doctors to advance the process and allow me pass after I have said my goodbyes to my loved ones. My wife of 54 years and my children know my wishes in this event and they will respect my wishes. However, I hope that no such decision need be made and I simply pass in bed after the evening news.
Mayoclinic connect is a very helpful site as it allows me to chat with people who are going through the same crap as me and that, in and of itself, is comforting and helps me to deal with the cancer.

you may be right,,,,,,,,

What is your current age? You mentioned diagnosis at 46. I am sure you have checked into your state's medical insurance options.

I am 62, in Texas with my preexisting medical conditions, insurance is not an option. I make too much for assistance and not enough to afford it. I am a veteran, same situation. Thank you for responding.