Your husbands case is severe and there is good reason to see the best available oncologist. Travel can be expensive, but your husband will only have to start with consultation and receive local treatment.
It is likely necessary to look beyond Trelstar at second line HT therapies to go along with Trelstar. Additionally your oncologists will also likely mention chemotherapy with a taxan like Taxotere or Cabazitaxel. Additionally I would look into Abiraterone and Provenge. While Abiraterone is not yet generally released it will be this year...It is the ultimate testosterone blocker.
Second line HT drugs to consider will be Ketoconazole, Nilandron, DES (Estrogens), Leukine, and sandostatins. Additionally there are several clinical trials that can be helpful.
Also note that I have seen guys with higher PSA's do well for quite some time. But I won't be able to say more than a positive mindset is very helpful. I am sorry for his diagnosis, but I will do anything I can to get you any information you need. I am easy to find on the internet if all you or your husband needs is someone to talk to.
May peace also be with you both...
UsTOO Las Vegas
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas
Blog : www.caringbridge.org/visit/tonycrispino
Post Edited (TC-LasVegas) : 9/25/2010 10:44:49 PM (GMT-6)