Who leads my cancer care after surgery (RARP)? Oncologist?

Posted by lyricw @lyricw, Jan 26 11:44am

BX 1/13, developed sepsis & meeting with urologist 2/2 for RARP 3/13. PSA 4.8 & MRI showed 2 Pirads 4 in apex peripheral zone & 1 Pirads 3 in base transitional zone. No LN & no EPE. I decided on RARP, but unsure who monitors post RARP PSA over time & RX ADT, RT etc if PSA rise. Do I need separate oncologist & maybe choose one at Mayo etc instead of treating hospital?

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lyricw | @lyricw | Jan 26 11:53am

15 cores, 1 was 3/3 left lateral apex & second was 3/4 10% of core (20% 4 ) in area of pirad 3 base TRZ. Rest benign

jeff1963 | @jeff1963 | Jan 26 12:40pm

My experience is the Urologist that did the RP monitors PSA going forward. Have my first post RP visit in March, not sure who monitors if PSA is not undetectable.

jeff Marchi | @jeffmarc | Jan 26 3:26pm

Because you have not had any treatment yet, many places will not have you speak to a Genito urinary oncologist yet. They are the ones that specialize in prostate cancer and can manage your case. If you have a serious case with metastasis spread around And a high Gleason score, then they will work with you because you need Much better treatment Management.

Your urologist will manage your case if you have surgery. The radiation oncologist will manage it if you have radiation.

If your cancer reoccurs that’s when you want to work with a GU oncologist.