I just want to wish your dad the best of luck with his treatments of choice, my husbands chemo was Lupron

It may help members of the forum to provide more clinical information, exactly where did the PET CT scan say the PCa was, lymph nodes, bones, organs... was there a biopsy, has he had any labs...what is his health condition

A starting point would be to read the NCCN guidelines - https://www.nccn.org/guidelines/guidelines-detail?category=patients&id=50. Those will give you a baseline for treatment discussions with his medical team. That team should include a urologist, radiologist and oncologist, preferably with expertise and concentration in PCa.

I say his health because one of the treatment consideration may include chemotherapy. Other health issues such as cardiovascular disease play in treatment decisions. Another matter to discuss with your father is quality and quantity of life. Any treatment options have side affects so it can be a tradeoff, longer life but with some side affects he will just live with.

Finally, do some homework on doublet and triplet therapy, then discuss with him and his medical team. Here is one link, you can find others - https://ascopost.com/video-roundtable/updates-in-prostate-cancer-1/doublet-or-triplet-androgen-deprivation-therapy-options-for-metastatic-prostate-cancer/

The clinical data you did share with the forum indicates an aggressive PCa which may require aggressive treatment.

Kevin

Hi @tej, welcome. I moved your post about searching for the best treatment options for advanced prostate cancer to this existing discussion:
- Treatment Plans For Advance Prostrate cancer: https://connect.mayoclinic.org/discussion/treatment-plans-for-advance-prostrate-cancer/

I did this so you can read previous posts, some that include very helpful videos with more information. This will also help connect you with other members living with advanced prostate cancer.

What treatments are being recommended for your dad? What do they give him to help relieve the pain and constipation?

@tej, fellow members lik @fugiamaabc @stebro @mwspro might also have some tips about dealing with constipation.