How to cite: Mehan RD. “Could the Clinic Be the ‘One-Stop Shop’ for Prostate Cancer?” Grand Rounds in Urology. October 2025. Accessed Jan 2026. https://grandroundsinurology.com/could-the-clinic-be-the-one-stop-shop-for-prostate-cancer/
Summary
Rahul D. Mehan, MD, Founder and CEO, East Valley Urology Center, Mesa, Arizona, examines whether urology clinics can serve as integrated, one-stop centers for prostate cancer care. Dr. Mehan describes how prostate cancer management often involves multiple specialists across separate locations, which can lead to delays, higher costs, and patient confusion. Drawing on both practice experience and multidisciplinary care models, he outlines how consolidating diagnostics, consultations, and treatments within a urology-led clinic could improve coordination and the patient experience.
Dr. Mehan reviews diagnostic pathways centered on in-office magnetic resonance imaging (MRI) and transperineal MRI-guided fusion biopsy, emphasizing how early imaging supports efficient decision-making. The presentation describes collaboration between medical and radiation oncology through co-located clinics that share electronic medical records, enabling patients to see multiple specialists during a single visit. This structure enables unified messaging, fewer appointments, and consistent follow-up.
Dr. Mehan also discusses expanding in-house services, including medication dispensing, infusion capabilities, and clinical trial participation. He notes a recent increase in clinical trial involvement within the practice, which allows patients access to emerging technologies and treatment approaches without referral to outside institutions. Nuclear medicine integration is presented as a future step, including mobile positron emission tomography (PET), computed tomography (CT), and prostate-specific membrane antigen (PSMA) imaging.
Dr. Mehan argues that reclaiming comprehensive prostate cancer care within urology practices may be clinically practical, operationally efficient, and aligned with patient-centered care delivery.
About The 12th Urology Today Conference:
Presented by chair Ryan P. Terlecki, MD, FACS, the 12th Urology Today conference was designed to keep urologists, urologic oncologists, and other healthcare providers educated on the most pertinent issues in urology practices. Areas of focus included urologic oncology, men’s health and reconstruction, female urology, pediatric urology, kidney stones and related conditions, and methods of providing the best care amidst the required logistics of the business side of medicine.
ABOUT THE AUTHOR
Rahul D. Mehan, MD, is the Founder and CEO of East Valley Urology Center in Mesa, Arizona. Dr. Mehan is a nationally recognized expert in minimally invasive surgery, hormone optimization, and longevity medicine. His skillset spans robotic surgeries for kidney and prostate cancer, focal therapies such as HIFU, NanoKnife, and TULSA-PRO, and comprehensive men’s health services, including testosterone optimization and vasectomy. Committed to inclusive care, Dr. Mehan also specializes in women’s urology, offering advanced treatment for recurrent UTIs, urinary incontinence, and pelvic floor restoration.
