Help to give me hope

Sorry you are here Sofee. He will definitely be considered for treatment/management, and I suspect he will have a reasonably long life.

Prostate cancer usually responds very quickly to hormone therapy (HT) and any symptoms of cancer are likely to disappear quickly. The question then becomes how long will the hormone treatment work? It tends to average about five years, after that stronger treatments may work, but they tend to become ineffective after about a year.

4000 is a very high PSA, I think it is very likely the cancer is no longer confined to the prostate so surgery or radiotherapy therapy are unlikely to be able to kill the cancer cells which are probably throughout his body. So it is a case of managing his cancer, which HT does by making the cells dormant. Chemo kills cancer cells, but it is unlikely to kill all of them. With current treatments this mean management of the cancer. Hormone therapy has side effects which are OK for some men, but not all men get on with it.

You would be very unfortunate if HT did not last at least a year, you would be very lucky if it lasted longer than ten years.

My advise is only general advise based on posts I have seen on here over the last five years. Only medics who have seen all your husbands test results can give accurate advise.