Hi James, sorry to hear the news. Yes 3200 is high, as you no doubt know anything above 4 is worth investigating, as a general rule anything above 100 implies it has spread to other areas of the body (not an absolute rule, a PSA of 80 has been reported on this site and there was no cancer anywhere). So 3200 means it has spread and may be in places beyond just the hip.
You will hear doctors using the word "Advanced" which means it has spread beyond the prostate, you will also hear the word "Metastasis" which is just another word for advanced, but can be used to describe an area of the body to where it has spread, the word is often abbreviated to "Mets", so a doctor may say "He has 'mets' in his hip".
The first thing to try and establish is whether the mets are only in the bones or are in other organs (liver, lungs, brain), this is called spread to soft tissue, as opposed to bones, which I guess are hard tissue. The fact he has lost a lot of weight, implies there is something quite poorly with him so I suspect it has spread to soft tissue, unless it is pure coincidence and he has some other problem as well.
Treatment of the prostate by surgery or radio therapy is now pointless as the cancer has spread to other parts of the body. So any treatment needs to treat the whole body, these are called systemic treatments. The most likely on to try first is Hormone Therapy (abbreviated to HT). Chemo therapy is another possibility.
The only good news is that in the short term he may respond well to HT. This will effectively put the cancer cells to sleep, so he won't get any worse and may recover to some extent. HT nearly always works straight away, but almost always stops working after either as little as six months or as much as five years (even fifteen years has been known). Once HT stops then Chemo can me tried.
How old is your dad? HT is not too troublesome and though it has side effects they are not as bad as what he is going through at the moment.
So I think I would ask to which parts of his body has it spread? Will they do any tests to try and establish those places, if they do not already know? Will they try HT or any other treatment?
There are plenty of other members here who may have other suggestions.
Wow thank you so much for the response mate answered a lot and I first thought it’s much worse
my dads 72 k think he has ignored the problem for a while as people of that age of generation tend to do
Im going to use the questions you have said today and hopefully get some answers