First of all, welcome. I would certainly get yet another opinion. The vast majority of PCa is not an urgent 'get in the OR next week' kind of thing. So, that right there raises a red flag for me. If this is the first you have heard that the cancer is aggressive - how does he know it is? (I must be dumb, but is Partins 7 the same as Gleeson 7?) If so, then 7 is not all that bad. yes, it is higher risk, but not an emergency. Why does he think the cancer has spread? or escaped the prostate? Most doctors do not know this until surgery I think. Two possibilities, either the DR is too aggressive in his scare tactics, or there is some info you have left out. Either way, get another opinion. Drive to a major city if you have to.
But I would caution you to not base your treatment on ED. Without nerves you will almost certainly have to rely on injections for sex. Tons of guys use injections and discover it is a perfectly viable way to go. You DO have tons to live for. I would still get another opinion and then make my decision based on the best treatment for your health - not your erections.
Spouses often deal with the ED better than us guys do, frankly.
46 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6 (Biopsy 3/07 just suspicious)
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - Took 100mg viagra every night. for several months
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
ED bounce is what they call it. Now, at one year, ED is fine with viagra.
One year PSA - undectable!