By Genito I assume you are referring to Genitourinary Oncologist? I am very confused by the overall management approach to prostate cancer. You have urologists/surgeons who want to do RP's, radiation oncololigists who want to do various types of radiation (IMRT, SBRT, brachytherapy, etc), who is the doctor that helps you assess and evaluate all of the different options and select the best path? Mayo Clinic in Rochester doesn't seem to have this type of person, or they don't connect you with that type of person. They send you straight to the Urology Department.