I know this thread is going to generate a lot of controversy, but we can also learn through controversy.
The prostate cancer world is very different from the rest of the cancer world in one improtant area: The oncolgisist in most other cancers get involved up front. They are usually the 1st doctors that a patient is referred to after a diagnosis or suspicion. The oncologist confims the DX, stages the cancer and recommends treatments. Surgeons, Radiolgists and other specialists are brought on board to support the treatment and the oncologist follows up afterwards with regular appointments to monitor any reoccurances.
In the prostate cancer world the urlologist is usually the 1st doctor a patient sees when PC is suspected. He does the DX, makes the recommendation and sometimes even performs the treatment. An oncologist only gets involved when the cancer has reached the stage where it can no longer be cured by a local treatment.
A urologist is not an expert in PC as he also works with bladders,, SDS, women's problems, ED and many other issues. If a patient is lucky he is referred to a urological surgeon who devotes a major portion of his practice to PC and has a much better knowledge of it. If the treatment is beyound his control he may refer one to a radiologist or an oncologist, but the oncologist is always the last on the list, not the first as in other cancers.
My own experience and my research supports that oncologists generally do a much better job in diagonosis, staging, and recommending the most effective treatment options. They use more tools, tests and imaging, and are more aware of the latest technologies and methods.
I know there are always exceptions to any rule and this thread will generate a lot of exceptions. I have had 5 urologists in my quest, one the head of the cancer department of a major hospital, one trained at Slone Kettering; another is now head of urology at a major cancer center that we would all recognize as one of the best.
In a 45 minute consult with an oncologist I learned more about my cancer, heard about 3 additional tests I should have been given and told about several probabilities that I never considered and were never discussed with me.
I'm convinced that a prostate oncologist should be on the list of everyone for a 2nd opinion after a diagnosis.