You may even consider asking how many
open prostatectomies he has done and consider that route.
open and robotic are really equal in results.
I am also a Gleason 9, and I elected to have surgery. But the odds are good that you will need radiation also. If I were to do it over, and found the right doctors, I may have chosen seeds and IMRT, or just IMRT.
It is a confusing time of dealing with reality, learning so much about
prostate cancer, and the treatment options. The tendency is to rush, when in all likelihood, 6 months wouldn't make a lot of difference in the outcome.
I would advise multiple opinions from multiple disciplines. Seek out experienced doctors. It is generally felt that a doctor needs several hundred surgeries to be considered to have mastered robotic. That is not to say your doctor won't do a fine job, but with a Gleason 9, you need every advantage you can get.
Good luck on your journey. I am 2 years post op and feeling great.
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