I am very similar to you in regards to this. My family urologist who wanted to do open said he would take it all and save my life. He said he would take lymph nodes, cut the nerves way back?,and cut the margins wide? My biopsy seemed to indicate we were early so I got two more opinions from major universities. Both said totally not necassary,BASED ON THE BIOPSY, which is what everything is based on. I still dont know why they cant take the prostate out do a quick look at the margins, sample the lymphs and correct if necassary or close. I have never got a good answer to this question. Seems like a Lab procedure to me.
Diagnosed 01-08-08 @ 53 years old
DRE normal - High PSA for 5 or more years
2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Current PSA 6 - Bone and Ct scans negative
clinicalg Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,5 hour surgery , 3 hour recovery
Unexpected Cardiac issues appear and disappear?
Hospital stay 30 hours - Catheter out in 7 days normaly expected leakage - Erectile funtion back on line 9 days
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on bottom of prostate, 1 positve margin going to meet with oncologist to discuss treatment options if any at this time.