The other guys above make a good point. Even though my local urologist had done many, many open prostatectomies I really didin't trust the guy. All my appointments over the years with him for annual PSA, digital DRE ended up being half a day wasted in his office while he came back from surgery. He did too many surgeries, was too gung ho about money if my opinion. His PA told me right after the second biopsy, which I knew would be positive for cancer, that he would never have the robot do the surgery because his boss was so good at the open procedure he could do one in less than an hour. That didn't impress me, I wanted somebody who took their time and tried to save my nerves. I went to a robotic surgeon 70 miles out of town and I asked him how many surgeries he had done. He told me up front he had done over 300 which was the most for anybody in his town. I went with him because I am a poor guy and couldn't afford the time and inconvenience of going further away for the surgery even though the more experience the better. I would definately try and find somebody who has done at least 250 of these surgeries. Somebody has to be in the first 250 but I am selfish, I don't want it to be me...............
my age=52 when all this happened,
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
First post-op PSA=.01 on 10/15/08,
Second post-op PSA <.01 on 01/15/09,
Incontinence gone in early December '08,
ED remains, using daily Viagra and 2x/wk bimix/trimix injections for penile rehab