Hi
I was diagnosed in Dec 2014 with psa of 235. It had spread to hip
I was started on a trial immediately of enzalutamide plus HT. My psa has remained at around .04 since.
I have had no RT or surgery. I kept a strict organic diet, exercised and kept a positive attitude.
I dont know why it has worked with me for so long but it might suggest there may be other ways besides rt or surgery or chemo.
I wish you the best and hope my experience helps in your discussion with your onco.
Paul