t-dog, take comfort that most men get through their surgeries and/or radiation treatments fine, with little if any problems. With all sugeries and procedures, there are always risks, sometimes the doctors tell you, and sometime you just have to ask point blank. Each man here has a different twist to their own journey. What is an easy part for one guy, ends up being an ordeal for others. Each of our body's react different to treatments, and pain and pain threshold is a very personal and subjective thing.
In my case, I get through some of the big parts fine, and then get hung up on the small stuff. You never know what you are going to get.
If you are still considering surgery, just remember, whether it be robotic or open like I had, it is still a major and complex surgery. It's a serious decision to make if you go that route, you need to understand there are no guarantees about whether all the cancer will be erradicated (in my case it didnt), you may have incontinence longterm (more than a year), or none at all, the range is that much. And with ED, it's like rolling the dice, even with the "both nerve bundles saved" surgeries performed by brand name doctors, some men are still dealing with ED 2 years later, some go as far as having penile implants.
The point, very mixed bag with what you may or may not get. I healed well from my open surgery, but have had endless problems with blockages and urinary retention, thus why I am still on catheters over a year later, is this normal? Nope, dr says perhaps 4% of men have this trouble. Incontinence for me, lasted less than a month and was never real bad. I had the left nerve bundle removed, the right side was left as is, and according to surgical notes, appeared damaged. Yet having said that, I never had any ED, I have been able to have natural errections right from the start. Even my doctor says it didnt seem possible, yet it works.
Keep researching, keep asking questions, there are no re-winds or re-do's on what you choose. I thought surgery was going to do it for me, and in 9 months, had to go through salvage radiation treatments. For most men, piece of cake, for me, turned out to be a long, painful ordeal. I write this too, on my 86th day of wearing this Suprapubic catheter, which is a constant source of pain and annoyance, with no guarantee of when it will be removed for sure.
Not complaining, just trying to educate on what any of the experienced men here will tell you, you just don't know what you will get. If I had to do this all over again, with my stats, still would have had surgery. Depiste all my troubles.
So good luck to you.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place