I do not recommend getting an MO at all if you are high risk. MOs are for guys with incurable PC - not for those who are going for a cure. Curative therapy is not their area of expertise - managing the disease is what they know about
. I have been witness to conflicts that arose because an MO told the patient one thing and the RO or urologist told a patient a conflicting thing (because the MO didn't understand the details of the specialty). BTW - notice that the ones who are recommending POS (who I like, btw) are not in your situation.
What I advocate for a high risk patient is this:
(1) interview specialists in each kind of curative therapy suitable to your situation.
(2) pick your treatment, and that RO or Urologist, as the case may be, becomes the "lead"
(3) if you decided on a radiation therapy, that RO can give you whatever adjuvant hormone therapy is needed. Better yet, to save money, have your GP administer it under the RO's direction. Sometimes a brachy specialist will coordinate with a local RO to do the EBRT.
(4) if urological issues arise, have a good urologist you can go to. My RO actually recommended my Uro. I no longer see my RO (except on visits where I go along with other patients) - my uro is the lead for any urological issues.
(5) if rectal issues arise, have a good proctologist or gastroenterologist you can go to. I had my proctologist (for hemorrhoids) before I ever had PC treatment.
(6) if you have a treatable PSA recurrence eventually, you can look for a specialist in that then.
(7) if you have an untreatable recurrence, that's the time to get yourself an MO who will take charge over overseeing your care (sometimes assisted by an RO or urologist).
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.2,no lasting urinary, rectal or sexual SEsmy PC blog