Radiation with ADT

Had a psa of 27 in the fall of 2022. Followed up with a biopsy that gave me a Gleason score of 9. By the time I got to a research hospital in Ohio in December my spa wa up to 84. I started ADT immediately with Lipton and Casodex. Had a CT scan which showed a fair amount of metastasis and then a PSMA pet scan to get more details. Most mets were in the pelvic region with one small met on my sternum. As you can imagine I was pretty freaked out by the stage 4 diagnosis and choose to go with aggressive treatment even though I am 78. I had 23 sessions of radiation. I had the same issue with trying to go into the sessions with a full bladder. I had a Foley catheter inserted at first diagnosis as I could no longer pass urine at all. I chose to use the Foley with a plug rather than a bag. Two days in a row I blew the plug out before they cound start the radiation sessions. Glad they had an extra set of scrubs around. I returned home to Hawaii following the completion of the radiation and started with a medical oncologist. He has continued with the Lipton and cahnged out the casodex for Erleada, one of the new androgen inhibitors. I have now had a psa of 0.02 for 5 months. I actually feel pretty good with the except of low energy. I had the Turp procedure 3 weeks ago and am now catheter free for the first time in 16 months. No major leakage problems yet, knock on wood. All in all from a very scary start things are pretty much back to normal now so I encourage everyone to not give up hope. I did lots of research throughout this process and had a major say in all medical decisions which I urge all to do.