First of all, be thankful you elected surgery. It is still my primo argument for the benefits of surgery. Now you know what it is.
We have many guys on here who had positive margins and have had no problems. We have many guys who have had negative margins, and have had problems.
Of course, it is a potential for the PC to get out of the capsule and will merit a watchful eye. Depending on who you talk to, and what their specialty is, I would say many will recommend adjuvant radiation. Others will recommend a wait and see approach.
It is my personal opinion that first you need to get healed up and get your continence and ED under control.
Jonathon, we have seen worse pathology, and we have seen better. I would begin to research it, set up consults with an oncologist, and a radiation oncologist. Certainly Cleveland has many very good specialists. I don't think you need to act next week, but with the three
open margins, you will need to consider some type of adjuvant treatment, or wait until PSA rises and then under go salvavge therapy.
You certainly are in a good place to ask questions here.
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 injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01