I am very happy that I was treated at a major Cancer Centre (our Canadian equivalent of a U.S. "Center of Excellence"). PCa treatment is evolving rapidly, and a research oncologist at a major interdisciplinary institution is far more likely to be up to date, and to have access to trials, patient-access programmes for new drugs, etc. They also have colleagues who can step in with their own expertise in other areas.

I doubt I'd be doing so well right now if I were just being treated by a lone urologist at a regular hospital or clinic, but of course, it's impossible to know for sure.