Hello, I am relieved to find a forum for this subject. I was given a routine physical and complained of urinary problems in late August. When I got my PSA, it was 410! The Urologist did the biopsy, gleason 9 in 12 regions. It is metastatic to the abdominal lymph nodes. I'm 62, still working with no pain. The October Eligard shot and lowered PSA to 69 and going down. The Oncologist said I need chemical castration hormones from now on. It is life changing to say the least. He said I would last 3-10 years. Has anyone discussed Orchidectomy as Eligard shots are expensive?