Having an open isn't so bad, I had one, several others here have as well. It's more important that the surgeon you use is very experienced, that is far more important than the method. Some surgeons feel an advantage with an open surgery, since they can feel with their fingertips what is going on inside. In the old days, an open surgery was a major bleeding risk procedure, nowadays, it's not as much an issue. They had 3 units of blood on the side in case it was needed on mine, and none was needed, zero. And my surgery turned complicated, and still no bleeding issues.
Both methods are invasive, and both are major adombial surgeries, and both require time to heal properly, more than the surgeons like to advertise.
If you have access to a good open surgeon in your neck of the wood, he/she should be able to do a good job for you. I could have come home in 2 days after my open, but insurance paid for 4, and my dr. and I decided not to rush things, so I stayed the entire 4.
Just my take.
David in S. Carolina
Age 57, 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 capsule, one post. margin, clear lymph nodes
First PSA Post Surgery 2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, they want to start radiation, 70 gray, I am still considering all options and opinions