Barry, still comes down to a point that I feel 99.9% of us here at HW agree with. It's not the mode, its the surgeon. And I think the point of how many he/she has done gets overplayed too, that is but one factor. How about the quality of their surgical skills, not just the shear number of them. A surgeon that has only done 200-500 quality surgeries may be much better than one that cranked out 2,000. The higher number doesn't prove the surgeon learned anything better or learned from his mistakes. Hopefully he did, and its good extra experience.
And then of course, what is the condition of his patient's let's say a full year later.
If that data were available and accurate, I think there might be some surprises for people to learn about. Even in our small group, we have an unfortunate few, that went to the best of the best, and didn't get good results, either in eradicating their cancer, or quality of life issues.
On the personal side, I never like to push open or robotic. At the time of my surgery, only 15 robotic PC ops had been done in my area, on a new robot. That surgeon was a partner of my uro/surgeon, and my own dr. said to stay away, as the learning curve was just starting.
So I went for the obvious, open with a lot of experience. In the end, due to complications in my prostate bed, my surgeon said that robotic never would have worked, and had it been chosen, it would had to have been converted to an open procedure anyhow.
No matter how smart we think we become here and elsewhere learning this and that, and I am a big believer in the "due diligence" part and the "buyer beware" aspect (been in the biz world too long, lol), when push comes to shove, we all have to make complex and major medical decisions to the best of our abilities, and there is always a certain gamble, roll of the dice, chance, or whatever other adjective someone choose to use when we make these huge decisions.
Then what happens, happens, and like the rest of humanity, we learn to deal with it, and learn to adapt and compensate for problems.
Such is life.
My best to you
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, 4/8 .04
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