The usual next step is to drop the Casodex (and avodart). Sometimes the cancer starts to feed on Casodex and eliminating it makes your PSA go down. After that, they usually try a second-line hormonal therapy, either Zytiga or Xtandi.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog