Yes, a Genito urinary oncologist could make a good addition to your medical staff. You probably could wait for that until after surgery and after you find out whether or not your cancer comes back. That is the type of doctor you want to plan your treatment future if it returns.

If it were me, I would stay with Mayo. If you have a situation where you need a urologist you can find one at that time. I didn’t need any treatment from my urologist for many years after I had my surgery, they don’t get directly involved with advanced treatment.

After surgery they Probablywant you to continue Orgovyx for a year or more, With a Gleeson eight that might give you a better chance of long-term survival.

If in the future you need radiation, you can have Mayo set up how it’s done and then have it done near where you live.