About the Clinic

Five Valleys Urology offers the regions first specialized support and treatment program for men with a high risk for cancer or whose prostate cancer has progressed. Our physicians and registered nurse navigator work closely with oncology and radiation oncology on a focused, multi-disciplinary care program designed to bring the best possible cancer care to our patients with prostate cancer. Dr. Garrick Simmons leads our program; he is a pioneering urologic surgeon in the state of Montana with expertise in cancer care. We offer our patients personalized care, with close support from our nurse navigator. Our program includes comprehensive genetic counseling and multi-faceted screenings for men at high risk and cutting-edge treatment strategies, including an in-office Urology-specific dispensary, for men whose cancer has progressed.

Support Services

Each patient receives a personalized care management plan, designed by a physician and administered by a nurse navigator. With helpful check-ins, reminders, and a direct line, our nurse acts as your guide through your treatment and beyond providing you with continuity of care and peace of mind. With 17 years of Urology-experience, our nurse navigator can answer questions, provide guidance, and be there when you need her.

Prostate cancer risk factors:

  • A family history of prostate cancer (including your brothers, father, grandfathers or uncles) 
  • Multiple family members who’ve had prostate cancer
  • A single family member who’s had high-grade, advanced or metastatic prostate cancer
  • African ancestry
  • Ashkenazi Jewish ancestry
  • You or certain family members have certain genetic risk factors (e.g. BRCA1, BRCA2, ATM, CHEK2)
  • A family history of breast, ovarian or pancreatic cancer

Indications of aggressive or high-risk prostate cancer:

  • Metastases (cancer in more than one location) at your initial diagnosis
  • A PSA (prostate-specific antigen) score that’s greater than 20 ng/ml 
  • A Gleason score that’s greater than or equal to 8 and a Gleason grade group that’s greater than or equal to 4 
  • High volume of Gleason 7 and a Gleason grade group that’s greater than or equal to 3
  • Evidence that your prostate cancer is extending outside the prostate capsule into the seminal vesicles or pelvic lymph nodes
Have questions? We’re here to help.