And I fully agree with CPA (David) post above. My wife is a nurse too, that really helped me through the process or ordeal.
My surgeon wanted to do
open for the same reasons as yours, I think one would find it fairly common view among a lot of surgeons.
I have nothing against robotics, its quickly taking over the numbers of RP operations, no doubt. But sometimes, I don't think the latest trend, the most state of the art, or having a nationally known surgeon with thousands of cases will ultimately change the results of many's case of PC.
If you are going to have surgery, you need to have a really, really good surgeon, no doubt, with a good number of ops behind him/her, you don't want to be the training material for someone. But this good surgeon can be someone local to your area with a good reputation.
Like most people, when I was faced with my PC, if I had just won the powerball, I may have made other choices with my medical situation, just because I cause, but because I was an unemployed CFO, on COBRA insurance, and of very modest means, I used the medical rescources that were local to me, and known to me and others. The result, I am doing ok.
David in SC
56, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9