It's interesting that some surgeons do not dissect at least some lymph nodes. I can understand in G6 cases where active surveillance was also an option. But in intermediate and above risk cases there is very clear evidence that removing lymph nodes can be very helpful. Dr. Stan Brosman summarized it is his essay on the AUA2010 meetings in San Francisco. Guys like me had a a 100% improvement in biochemical failure and in prostate cancer specific mortality when the study period was extended to 18.4 years...
I just wonder how many doctors stay up to date with that stuff...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.