My 76 y.o. father has just been diagnosed with prostate cancer (adenocarcinoma) that has spread to the neck of the bladder and the urethra, which evidently is rare and his urologist states he has never seen this. His Gleason score is 9. His PSA is very low, evidently, partially due to the prostate tissue 25% involved by the tumor. He was told the cancer is very fast and aggressive and the only treatment option is hormone therapy. His bone scan showed hot spots in the ribs and spine, but was not conclusive as this could be arthritis or an old injury. No further tests are to be done because they say it will not change his treatment options. He would like a second opinion but doesn't know where to start. He is thinking about Cancer Treatment Centers of America and MD Anderson. Anyone else with prostate cancer that has spread to bladder and/or urethra? Any suggestions?