Do you have a Urologist and an Oncolo... - Advanced Prostate...

Advanced Prostate Cancer

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Do you have a Urologist and an Oncologist?

Ewhite99 profile image
15 Replies

I have an Oncologist who I see regularly. I don't have a Urologist. My Oncologist consults the Urologist at his hospital when necessary. Do you folks have both or just an Oncologist like me? (I'm Stage 4, PSA-5, Taking Lupron and Xgeva, just completed Provenge treatment, completed chemo last winter, diagnosed 1.5 years ago)

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Ewhite99 profile image
Ewhite99
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15 Replies

I have stage 4 with extensive mets so don't see the need for a Urologist. My PCa is not confined to prostate or surrounding area so not having surgery at this point. I feel you need an Oncologist once you have stage 4.

JamesAtlanta profile image
JamesAtlanta

I have both. My urologist performed my prostate biopsy and also prescribes my medication for urinary frequency (Myrbetriq) and ED medication (Stendra). I see him 2-times per year.

I also use my visits to see if he had heard of any new treatments i should be aware of.

Hope this helps.

James

Ewhite99 profile image
Ewhite99 in reply toJamesAtlanta

Thanks. That makes sense. Now I just need to find a good Urologist near me. My last one was awful.

in reply toEwhite99

If your insurance will cover your visits with an Urologist, it wouldn't hurt to have one on your team, just in case.

herb1 profile image
herb1 in reply toJamesAtlanta

James, for some reason it was the reverse of your experience for me: I would present new technology to my urologist (or oncologist!) and he would shrug!

herb

noirhole profile image
noirhole

I fired my urologist. Said I only had 5 years expected survival. Asked him if he would suggest M.D. Anderson or Sloan Kettering. He said I should go to New York. Better food and plays. Just find a doctor that you like keep up your research. My oncologist can do all I need for my stage 4 care so no urologist right now. Always remember that no one will work harder than yourself to keep you alive.

Doofusthefirst profile image
Doofusthefirst

I have both but I see the oncologist for cancer care and the urologist for urinary issues. I have been dealing with prostate cancer for 18 years.

chascri profile image
chascri

Medical oncologist and radiation oncologist

Cancer2x profile image
Cancer2x in reply tochascri

Same. Dropped my Surgeon Uro soon after RRP in 1996. Pompous ass. When I agonized about ED at age 49, he responded “Be glad you’re alive. Wait a few years to see what comes back.” Nothing ever did. Now, MO keeping tabs on the cancer; RO just zapped two abdominal Mets with SBRT.

I trust Urologists as far as I can toss a cement truck.

BigRich profile image
BigRich

My urologist retired form general practice. I have two oncologists, one at a NCI, and the other in my local area.

Rich

Break60 profile image
Break60

I have a urologist where I get injections and a local and distant Radiation Oncologist who treats only PCa and is excellent. . No MO yet as my stage 4 is under control with ADT3 and xgeva.

Dr_WHO profile image
Dr_WHO

I was diagnosed with a rare form of cancer (Ductal)that had spread to the pelvic area. At first I went to an urologist for the surgery, then a radiologist for (of course) radiation. Finally my primary doctor now is a medical oncologist (for Lupron and Zytiga). As I am getting man boobs, I think a trip back to the Radiologist is in order.

With each doctor I saw I had to inform and argue with them on what Ductal cancer is and the best way to treat it. Some of these discussions lasted for months. As a result I will have to say that a fourth doctor I see is myself.

Walt (a chemist not a MD)

j-o-h-n profile image
j-o-h-n

I have both... in fact I just saw my Urologist Dr. Lee a few hours ago... I gave him a paper weight inscribed " TROUBLE WITH YOUR PEE? SEE DR. LEE"...

j -o-h-n Monday (Cyber) 11/27/2017 6:00 PM EST

JimVanHorn profile image
JimVanHorn

I have both and use the urologist as a second opinion when I get a recommendation from the oncologist. My urologist diagnosed my cancer 11 years ago and directed me to my oncologist. Recently I have a kidney stone in both kidneys and a small amount of blood in the urine. So he is a great doctor who really cares and works with my oncologist. Best of luck and each of us have different reasons for our choices.

Nutters85 profile image
Nutters85

My uro interned at Moffitt Cancer Center here in FL and has a lot of PCa experience. I get my 6 month Lupron there. I see my onc monthly as I get Zometa infusions. Currently am on Zytiga with Prednisone. PSA is creeping back down. Man boobs are growing. Working full time. Life is good!! Merry Christmas all. 🎄

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