You bet, there is hope!! My ex did not have prostate removed due to the extent of the spread, however, this was 10 years ago. They have come a long way since then. He was active, traveled, and lived a relatively full life once they got him back on his feet after the bones in his back were taken care of. Get second opinions if necessary. We knew of several individuals who had Stage 4 and had been living with it for many years. Attitude is important, so, be determined to get the right treatment and live your life.