How many saw Urologist for prostatectomy vs Genito-Urinary Oncologist?

Posted by rlpostrp @rlpostrp, Aug 7, 2025

I have read enough of the different questions and offered responses that I sense a good proportion of men had a Genito-Urinary Oncologist diagnose their prostate cancer, and perform their radical prostatectomy (RP). So...
I'd like to ask: "How many of you were diagnosed by a Urologist and had your RP performed by the Urologist, and how many of you were diagnosed by a Genito-Urinary Oncologist who then performed the RP? I am curious too, how many were sent down the path of "radiation therapy" by a Genito-Urinary Oncologist (perhaps their bias) vs them recommending RP? In the mean time, I will try to get an "AI" response to the percentage of each. I ask, because sometimes I wonder if I would have been better off seeing a Genito-Urinary Oncologist after my Urologist diagnosed me. Thanks

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edinmaryland | @edinmaryland | Sep 2, 2025

followed by urologist urologist did the RARP . I could have seen oncologist however , in my case i ended up getting second and third opinions which really confirmed the need for RARP

brucemobile | @brucemobile | Sep 3, 2025

My first diagnosis was from a urologist, my second opinion was also from a urologist but the second opinion was from a urologist that was the chair of the urology department at a university in the city where I live that is affiliated with the Cancer Center located in the same city. All this to say the first urologist could not wait to get me scheduled to have RP, the second urologist also recommended surgery but offered to have a consultation with an RO at the Cancer Center. I went with RP using the second urologist. This urologist was in a teaching position and there was no urgency to perform surgery because he was already getting paid. I feel the first doctor was looking at me as a paycheck, the second saw me as a patient

rlpostrp | @rlpostrp | Sep 3, 2025

Good perspective...one generally true of most/any physician that performs surgery. I was in a hospital-based, health care leadership role for 40 years. The one thing that I noted fairly early is that surgeons are a different breed: they are the car mechanics...the engineering minds...in medicine. They love the challenge of tinkering in our bodies, like leaning over an engine turning a wrench. The more surgery they do, the more challenged, interested, and satisfied they are. And of course, they make MAJOR money off every surgery. That is not necessarily a criticism...it is just a factual observation based on my historical experience.