This is not the time for despair. The perineural invasion is fairly common, and by itself probably doesn't raise too many flags. The seminal vesical is a little more of a red flag. The good news is negative margins. Gleason 9 by itself is not a guarantee that he will have a reoccurence.
I think seeing a radiation oncologist is a great plan.
I wonder if you read the nomogram correctly. 15 % sounds way to low. I would guess he would be in the 60 to 70 % range.
Without a signature telling us his PSA, all the postop pathology, etc., it is hard for us to check his numbers.
You must stay positive. We have seen much worse on this forum.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injections