You need to first get the results from the MRI, and a biopsy if the MRI sees tumors. If it does see tumors, and with the high PSA a PSMA pet scan would also be a good idea. Whether it shows cancer spread or not, you need to speak to a Radiation oncologist, as well as a urologist who does surgery. You want to make sure that the urologist/surgeon has many years of practice doing prostatectomies.

If the cancer has spread Outside the prostate you need to find a Genito Urinary Oncologist, They specialize in prostate cancer. A medical oncologist treats, all different types of cancer.

The oncologist does not need to be specifically a urologic oncologist. I have both a medical and radiological oncologist, with the medical oncologist currently directing my treatment. A urologic oncologist may be preferable but I feel that the oncologist’s interest in and attitude toward the patient and ability to communicate (both speak and listen) is more important. A good oncologist will readily consult with other specialists as needed. Also, I would insist on being sen my the physician at each visit, not a NP or PA. Some systems really push the NP in lieu of a physician. Not acceptable when addressing this disease.