Well, a urologist may or may not may be able to"handle" your systemic therapy.

I think from a technical perspective they can prescribe ADT to include ARIs.

The dividing line may be chemotherapy.

Still, I read an article recently which discussed data showing urologists were less likely to employ the full suite of drugs for systemic therapy, ARIs, PARP inhibitors, radio isotopes, genomic testing....

Both my urologists were great surgeons, after that well, limited thinkers. The first retired and at our last appointment told me how much he had learned from me...what, it's supposed to be the other way around. The second let his ego get in the way of providing me the best possible care, yes, I fired him!. There was a 3rd, went for a 2nd opinion and he dismissed my reasons for wanting to do triplet therapy and said he would put me on continuous ADT mono therapy, Lupron...I fired him too.

I have an oncologist now, he is very comfortable with a wide array of treatment for systemic therapy.

Would I see a urologist again, sure for urinary issues..

I'm not saying there aren't urologists who are well versed in the myriad of systemic treatment for advanced PCa.

For me, I'm more comfortable using a medical oncologist for advanced PCa.

Then again, I'm a study of one and my choices have worked best for me.

Kevin