For a prostate cancer oncologist, each day brings new challenges, triumphs, and the responsibility of guiding patients through one of the most difficult journeys of their lives. From early morning consultations to late-night research, their work goes far beyond diagnosing and treating prostate cancer—it involves providing hope, support, and cutting-edge medical care to men facing this common yet life-altering disease.
Let’s step inside a day in the life of a prostate cancer oncologist and see what it takes to balance science, compassion, and the ever-evolving landscape of cancer treatment.
7:00 AM – Preparing for the Day
The day starts early. Most oncologists begin by reviewing their patient list, looking over test results, pathology reports, and treatment plans before heading to the clinic.
- Reviewing PSA levels, biopsy results, MRI scans, and genomic testing to assess tumor aggression.
- Checking on ongoing radiation therapy or chemotherapy responses.
- Reading up on the latest research in prostate cancer treatments—immunotherapy, targeted therapies, and precision medicine are constantly evolving.
A quick coffee, a glance at emails, and it’s off to the clinic.
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8:00 AM – Morning Patient Consultations
The morning is filled with patient appointments. No two cases are ever the same, and each patient requires a personalized approach.
New Diagnoses: Delivering the News
One of the hardest yet most critical parts of the job is discussing a new prostate cancer diagnosis. This conversation is delicate and requires both medical expertise and emotional sensitivity.
- Explaining the Gleason score and cancer staging in a way that’s easy to understand.
- Discussing treatment options—surgery, radiation therapy, hormone therapy, or active surveillance for low-risk cases.
- Addressing patient fears and answering tough questions: “Will I survive?” “Will I still be able to have a normal sex life?” “What are my chances of recurrence?”
Many oncologists develop a deep bond with their patients, knowing that their guidance will shape how each person approaches their fight against cancer.
Follow-Up Visits: Tracking Progress
After new diagnoses, follow-up patients come in for progress assessments.
- Men undergoing hormone therapy may discuss side effects like fatigue, hot flashes, or reduced libido.
- Patients recovering from prostatectomy (surgical removal of the prostate) may need help managing urinary incontinence or erectile dysfunction.
- Those in radiation therapy may report fatigue or bowel discomfort, requiring medication adjustments.
Oncology is about more than just prescribing treatments—it’s about helping patients maintain their quality of life while fighting cancer.
12:00 PM – Multidisciplinary Team Meeting
Oncologists rarely work alone. Treating prostate cancer requires input from:
- Urologists (who perform surgeries like radical prostatectomies)
- Radiation oncologists (who deliver external beam or brachytherapy)
- Medical oncologists (who prescribe chemotherapy and advanced drug therapies)
- Pathologists (who analyze tissue samples to confirm diagnoses)
- Nurses and patient navigators (who provide crucial support throughout treatment)
This team meeting is where they discuss complex cases, debate the best treatment strategies, and ensure that each patient receives personalized, evidence-based care.
1:00 PM – Lunch and Research Work
Most oncologists grab a quick bite while catching up on research. With new prostate cancer treatments emerging rapidly, staying updated is essential.
- Clinical trials: Reviewing data on new PSMA-targeted therapies, immunotherapy, and next-generation androgen deprivation treatments.
- Attending virtual conferences or reading journal articles from the American Urological Association (AUA) or American Society of Clinical Oncology (ASCO).
Many oncologists also participate in clinical trials, offering patients access to cutting-edge therapies before they’re widely available.
2:00 PM – Afternoon Procedures and Consultations
The afternoon may involve procedures, second opinions, and more patient visits.
Performing Prostate Biopsies
Some oncologists perform in-office prostate biopsies for men with elevated PSA levels or abnormal MRI findings. Using ultrasound guidance, they take tissue samples to check for cancerous cells.
Explaining Treatment Decisions to Families
Patients often bring their spouses or adult children to understand their options. Family discussions are a key part of oncology care.
- Explaining the difference between active surveillance vs. aggressive treatment.
- Addressing concerns about side effects (urinary issues, erectile dysfunction, bone health).
- Discussing genetic testing for men with family histories of prostate or other cancers.
5:00 PM – Reviewing Patient Progress and Calls
As the clinic winds down, the oncologist spends time:
- Reviewing patient charts and updating treatment plans.
- Calling patients with biopsy results or post-treatment updates.
- Answering urgent questions—some men experience anxiety between visits, and a reassuring call can make a big difference.
6:30 PM – Rounding at the Hospital
For oncologists affiliated with hospitals, the day isn’t over yet. They may visit hospitalized patients, especially those:
- Recovering from surgery complications.
- Undergoing chemotherapy for advanced prostate cancer.
- Experiencing side effects from radiation therapy.
These hospital visits are a reminder that prostate cancer can affect men at all stages, from early diagnosis to advanced metastatic disease.
8:00 PM – Wrapping Up and Reflecting
After a long day, the oncologist heads home, sometimes stopping to review medical research or prepare for upcoming conferences. Despite the challenges, the job is deeply fulfilling.
Why Do They Do It?
- The joy of seeing a patient go into remission.
- Helping men extend their lives with groundbreaking treatments.
- Providing emotional support—because cancer isn’t just about the body, but the mind and spirit as well.
Being a prostate cancer oncologist is more than just a career—it’s a lifelong commitment to fighting a disease that affects millions of men worldwide. And while the work is demanding, the opportunity to save lives, offer hope, and push the boundaries of medicine makes it one of the most rewarding specialties in healthcare.
