I was diagnosed in August 21’, had RP in September 21’. My Gleason was 8 and my stage was Pt3b. The cancer had escaped the prostate capsule but was still local. My pre-surgery PSA was 23, 60 days post surgery it was 7. I see a urology oncologist in Mexico City. He put me on intermittent Bicalutamide. I basically take it daily in doses of between 50 and 150 milligrams for usually 3 months. When my PSA drops below 0.7 I stop, usually for two months. After my 60 day vacation, it’s usually about 3. My Dr thinks I can go on indefinitely this way until I die of something else. I’m 61, so that could be a while. I’ve recently started feeling like this may be too passive of an approach. My last PSMA scan showed there was still no metastasis. So I have made appointments with two Radiology Oncologists, Dr Hamstra at Baylor in Houston and Dr Fagundes at the Miami Cancer Institute. My thinking is that if the cancer is still localized in the prostate bed, maybe they could zap it in a curative treatment (wishful thinking?). I’ll see what they have to say.