• Does a urologist or medical oncologist usually take the lead on a prostate cancer patient?

    Asked by HotRodTodd on Friday, May 17, 2013

    Does a urologist or medical oncologist usually take the lead on a prostate cancer patient?

    I get conflicting information from the two of them, seems like they are competing with each other.

    5 Answers from the Community

    5 answers
    • Peroll's Avatar

      The Dr that take the lead in treatment for any cancer really depends on the condition of the specific patient and not on the type of cancer. Oncologists are often the lead Drs for patients with advanced stage cancers that are treated primarily with chemotherapy, while early stage cancers may be treated with Urologists or surgeons in the lead if chemo is not indicated or necessary.

      If you are getting what appears to be conflicting information from Drs then you need to request that the Drs talk to one another and then explain their positions clearly and concisely to you in a manner that you can understand. If they refuse to do this it may be time to seek other opinions. You should be the one making the final decisions about your treatment so they need to be able to explain the options and the risks and rewards associated with each option. Good Luck!!

      over 4 years ago
    • CAS1's Avatar

      Agree with Peroll.
      If you are currently in treatment for cancer, or still in the two years after treatment then your Onc is the lead.
      If you are done with treatment and now just on follow up then the Urologist or Internal medicine Dr might be the lead.
      Simply ask your Onc who is your lead.

      over 4 years ago
    • SueRae1's Avatar

      Wow - this doesn't sound like a very productive situation. I don't know which doctor should take the lead, but I do know that they should be working collaboratively together making sure that you get the best treatment plan. Speak to both of them about this issue, so it can be resolved. Speaking to them at the same time would be ideal. You may find that you need to find a new urologist and/or medical oncologist depending on what their answers and attitudes are after you have had this discussion

      over 4 years ago
    • fusilier's Avatar

      Todd, do you have anyone to go with you?

      My Beloved and Darling Wife was with me at every appointment and refused to let anybody off the hook, until she understood what was being said. You need somebody like that.

      It might be that you are not in an emotional position to deal with things without someone to advocate for you. Which is certainly understandable.

      James 2:24

      over 4 years ago
    • tspoon's Avatar

      Answer 1 & 2. We have the onc leading since he has stage 4, visit with uro every third mth just to keep him nearby really. Today is uro day tmrw is onc day actually.

      No, they never visit, they never communicate with each other, I KNOW ours never had. Lead is whomever you give that position to and you can change when you feel it needs to. Early stage uro, later stage onc.

      over 4 years ago

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