This patient support community is for discussions relating to advanced or metastatic prostate cancer, biopsy, bone scan, blood in urine or semen, benign prostatic hyperplasia (BPH), CT scan, cystoscopy, erectile dysfunction (ED), hormone therapy, incontinence, pain (abdomen, lower back or hip), PSA test, prostatitis, radiation therapy, rectal exam, recurrent cancer, screening, staging (tumor size, metastasis), transrectal ultrasound, watchful waiting, and urinary difficulty, burning, or urgency (leaking).
Perhaps a new PSA would be in order. I am assuming that the goal of treatment is cure. This would require that the disease is still limited to the prostate (meaning no metastasis or distant spread). If the PSA is now in the 20s, then a bone scan would be a commonly used tool to verify if the disease has not yet spread to the bones.