Waiting too long

Has he started taking the hormones?

Without knowing a lot more it's hard to say but on the face of it waiting that long appears too long.  If it was me I'd be looking to find the fastest route into finding out why and what can be done about it.  You might ask why with a Gleason score of 4+5 it's being treated as non-urgent as an injection only takes 10 minutes, if that's what it is.  It might be an oversight and they'll take you in.

Whether to start with the diagnosing doctor and ask why and whether he can refer you to another oncologist perhaps at another hospital, or to go direct to the oncologist.  Perhaps to go via Macmillan if there is a nurse to speak to.  Although I found the Macmillan nurse didn't seem very helpful when I thought one of my appointments was longer than I expected, but your case may have more foundations.  Without knowing more it's hard to say but it seems you have a good case to be given a good reason why or be seen well before then.

Also, we are not told whether the forthcoming appointment is with a urologist or an oncologist. Whilst it may not make any significant difference to the development of the cancer in the interim, from the Patient's view point this aspect is clearly a concern which is being prolonged by the rather long wait in the circumstances. Nothing to lose by asking if appointment could be brought forward.

Often RT is preceded by a tablet taken orally for 2 or 3 weeks to avoid 'flare' and thereafter 3-6 months of HT by way of injections. This helps shrink and restrain the cancer, thereby helping the RT do a more effective job. It is likely that HT will continue during and beyond the course of RT.

Not all UK Hospitals have the latest RT linacs for treating with External Beam radiation and whilst ii is more convenient to have treatment nearer home, some men may feel it is worth travelling further to be treated with more cutting edge linacs if not available locally.