I must agree with the majority here that it is peculiar for a surgeon to ask the question in advance. Further, if the biopsy did not show that the PCa extruded outside the prostate, the question is even more peculiar. Your answer to the question should be "Of course save the nerves, unless they are affected." Giving the Doc the benefit of the doubt, perhaps he was just forwarning you about the sisks of surgery.
I agree with others here that a 3+4 gleason is on the low end of the scale (for PCa) and you and your husband have very good prospects for recovery. It s a journey that you must do one day at a time. Read up on it, listen to what the Loma Linda folks say and ask alot of questions.
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
Feb 3 Dx 2/12 samples positive, low volume (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9, University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....