Welcome Ridge, to our corner of the world.
When you get a chance, how about posting the specs on your cancer so far, i.e. your biopsy report info, etc. Help us better understand your situation.
I had open surgery (first it was by choice, and in the end, it would have had to have been open regardless), we have many men here with the robotic surgery experience.
As far as nerve-sparing or non, you have to get it in your head, if you go for surgery (open or robotic), you indeed need to find the most experienced and qualified surgeon you can get your hands on. Any good surgeon will tell you, that its cancer first, incontinence second, and ED thirdly. While the goal of nerve sparing is important to the sex life of any man with PC, even that isn't a guarantee that you won't have ED issues. You get one shot at surgery, and your doctor has to make the ultimate call once they are inside you, as to whether it is safe to do nerve sparing or not. If they have to cut wide margins to best get the cancer, then you must accept that reality.
Please post whatever stats you have on yourself, i.e. your biopsy info, etc. You may have many other, less invasive choices than surgery, or you may be fortunate enough not to have to do any immediate primary treatment.
We are here to help, please keep us posted.
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, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
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 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29