Wow. Lots of terrific responses. Thank you all so much. The caveats, ideas, reassurances and dire warnings are all helpful.
I gather that regardless of how they do the surgery, the bladder neck sphincter is pretty much toast when they're done. That leaves you with a single functioning urinary sphincter, which is why so many guys have incontinence issues, right?
Regarding open vs. laparoscopic surgery, my thinking is just that a laparscopic surgery must be a lot easier to recover from. And given the fact that I'm a G6 with a relatively not too out of hand PSA (4.11), a surgeon's ability to feel the lymph nodes and other tissue may not be such a critical thing.
Good points, though, about how the advantages of robotic surgery are probably being oversold. But then they've gotta pay for that machine somehow, don't they? Another good point about the open incision not being that big; my doc described about a three-inch incision. I know guys who had open surgery and say it wasn't that bad. Maybe I'm just exaggerating the difference between recovering from open vs. laparoscopic surgery in my freaked out little mind.
I've seen the videos of both the open and laparoscopic surgeries (I'm not bothered by that stuff). It looks, though, like they do an awful lot of fast and fancy cauterizing in the robotic procedure. I wonder if the nerve bundles generally come out of that unscathed.
Thanks for the tip, Fairwind, about getting the path report directly from the urologist's office. I'll give that a shot, and yes, it is Jonathan.
All that said, I'm trying to go slow and think this through more broadly. I take the point about how making a treatment decision will help tamp down the stress. That makes lots of sense to me, so I don't want to drag my feet, but I will take some time and consider all options as objectively as I can. I'm hoping the general oncologist can bring some context to all this for me next week.
Zufus makes a good point about not being swayed too much by any one person's advocacy for a particular treatment. Not likely, given all the discordant voices out there. While they may be confusing, you can't accuse the people of this forum of groupthink.
Thanks for all the perspectives; it's all very helpful. I'm sure I'll sort this all out in time. I'll post more specifics on the pathology report when I get them.