Got the pathology this week; two of 13 snips positive for adenocarcinoma; two other snips suspicious and "consistent" with cancer. Gleasons were 3/4 = 7; and 4/3 = 7. Surgery recommended as only real option. I have appointments with two surgeons the week of October 4th. In our upstate New York area, one surgeon is probably the leading experienced doctor for radical open prostatectomy. He works out of our teaching medical center and has done this surgery in the thousands for 20 + years. A friend had surgery with this doctor 12 years ago (at age 48) and my friend is still here.
The second surgeon is the most expereinced practitioner in the area with the DaVinci -- but that means probably on the order of 300 - 400 surgeries completed as that has only been done around here for a few years.
All my sorces of inormation indicate that both surgeons are highly competent within their technicque sets, so I am wondering if any data are available regarding the relative efficacy and short term outcomes of the two approaches? In the immediate term I am most concerened about: margins and continence. Lymph either is or isn't.
Thanks for any input. Best to all... NewsPaper Lover