When I was through with my procedure and appointment today with my doctor/surgeon, and we had shook hands as usual, I asked him point blank, Dr. Smith, if you had my exact pre-surgery specs, what would you do if you had to make a choice of treatment. He didn't hesitate, he said he would have had surgery, but robotic even though his robotic guy isn't highly experience yet, and he wanted the robotic for the faster recovery time since he is a doctor. We talked about
2nd guessing and what a cruel game it is on the mind. He said that with my specs, especially the intense PSA velocity, that any kind of watchful waiting would have been a death wish. That even allowing the cancer to grow another 6 months to a year might have allowed it to become untreatable in the normal sense. As a surgeon and urologist, he refuses to do salvage surgery after radiation. He said it is always a disaster, he knows surgeons that will, and he just forwards the patient to one of them if they insist. He said if I were 75 years old instead of 56 at dx, he may have told me just to wait and watch, but at my "young" age, lol, he wanted me to have the best chance of living many more years cancer free. He also said that in my very case, due to the deep and narrow prostate bed, and scarring from previous surgeries, any attempt at robotics would have been aborted and switched to "
open" as soon as they saw what was ahead. He shook my hand again, and was certain, that for me, the choice I agreed to was the best one to be made to hopefully be rid of the cancer and finish my life. Just thought I would share his opinion.
David in SC