I appreciated all the replies to my original posting, I never could find it here, so I entered the new one instead. On my last biopsy, they said there were two distinct tumors in 2 different areas of the gland, one was 4+3 and the other was 3+4, I don't know if that is normal to have two gleason scores at the same time. The reason it will be open surgery, is because here in the Greenville SC area, there is only one hospital with a robot, and only surgeon has little real time experience, my dr. was not comfortable with that in mind.
The decision to go with external beam rt will be made after the surgery of course, but with my past track record, I would almost expect it to happen. My other 3 cancer episodes involved porocarcinoma, so rare, that at the time, I was one of only 38 known cases in the US and less then 300 in the world.
I don't know if I will get nerve sparing or not, the dr. said it really depends on what they find after the surgery.
Thanks again, as I await nervously for this surgery, and the fun of a catheder, incontinence, and ED. Gee, at 56 and being in good general health, it sounds really thrilling.