Your initial diagnosis is quite similar to what mine was (PSA 32 Gleason 9, T 2-3, N?) and that was 19 years ago! My profile is on here if you want to wade through it, however I think it is largely irrelevant as the treatments I received have been superseded. I merely hope to cheer you up with the evidence that you can survive at least another 20 years with a diagnosis like yours :)