It's noted that you're in India. Until he's had a full diagnosis it's not easy to say. Although you could say the high psa and back pains make it sound like it's spread. Sometimes people have pains that are nothing to do with it. I had pains in my hips and it was arthritis I discovered after worrying. His psa is high though and as he's been diagnosed with 4+4, the probability is it's spread rather than just agitation of the prostate. Where it's spread to is another matter and can make a difference. You can only talk about probability without the full evidence.
In the UK, in the worst case he'd be offered hormones most probably and there are several sorts of hormones that can be used after one stops working. That can go on for years. Each person reacts differently, some last a few years and others last a long time, over 10 years. As you're in India I don't know what the treatment will be. Also we don't know his basic health as that can make it better or worse.
Diagnosis is always worrying. Obviously you'll hope it's not incurable and he'll be offered an operation or radiotherapy. Let's hope so. Someone else may provide another view, keep in touch.
Best wishes, Peter
Edited by member 21 Feb 2021 at 14:36
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