I live in Binghamton and I was diagnosed 4 years ago with a Gleason 6 cancer. After much research, I decided to go to Rochester Strong Memorial, University of Rochester and I had Dr Jean Joseph perform my robotic surgery. He was one of the first surgeons in the country to start using the Da Vinci system back in 2002. When I had my surgery in 2007, he had over 1200 surgeries under his belt at that time, so by now it is probably over 2500. He does on average 5-10 surgeries a week. He does nothing else but prostate surgeries.
My results were excellent. I had no ED problems and could get solid erections from the day the catheter was removed and without drugs. With respect to continence, I used 5-7 pads a day for three months, then became dry and haven't used a pad since.
Too this day my psa is <.04.
Cost wise, you can't beat it. It cost me $21,000 hospital and surgeon combined. I priced the same surgery in NYC with Dr. Terwari ( also one of the best surgeons in the country) and it would have cost me about $50,000. I suspect prices have gone up some since 2007, but relatively speaking, I bet Rochester is still cheaper than NYC