A urologist is no more than a surgeon.
He has done his job. For a uro to be involved in treatment of a man with mets is, shall we say, highly unusual.
Now is the time to replace him with a genuine cancer expert, a medical oncologist; preferably one who is well-experienced in treatment of prostate cancer.
Dx 2004 at 67 yoa: Extensive Gleason 9 + Gleason 8.
Uro wanted to do cryotherapy, which I would have declined had I known anything. It failed, except I was rendered totally impotent; the only thing that worked as advertised.
IMRT + Lupron.
Studied PCa extensively.
Fired rad onc, who refused to read Dr. Strum's evaluation of my case.
Hired med onc. Have been on IADT since 2006.