The only thing I'll add is that a team approach at a cancer centre in Canada or a major clinic in the U.S. can bring advantages over being treated by a single oncology urologist:

1. You get the combined experience of the whole team, from students to senior oncologists

2. They will be up to date on the latest research (and are often researchers or teachers themselves).

3. They will have better and earlier access to new drugs, clinical trials, emerging treatments, and patient-access programmes.

An independent urologist, no matter how wonderful, might still be doing things the same way they did 5 or 10 years ago, and with PC treatment too much has changed too fast for that to be ideal.