As others have said, nine is likey a nasty cancer, but the good news is even though the biopsy may have missed some the other clean cores show it is not all over the place.
If I were you I'd be happy with the advice to pop it out and be done with it.
I'm surprised that the da VInci robot isn't generally used in Israel. Jewish friends have taken us to Israel twice, and on one of these trips we had an extensive tour of the Shaare Zedek hospital in Jerusalem which was a world leader in laprascopic surgery. This was in my pre-PCa days, so I didn't ask about
da Vinci. The real issue isn't so much
open, or da Vinci, as it is having a surgeon who has, as they say in the OR, "good hands."
Chances are "good hands" means lots of experience, but if you've had a child who plays a violin with a tin ear you'll understand that a lot of practice doesn't necessarily translate into excellence. Use whatever network you can to check out the surgeon. If an OR nurse says they'd lie down on his, or her, table that's good info. If you can talk to nurses on the urology ward they know which surgeons have patients with complications and which don't. All good info if you can get it.
Sorry to welcome you here as it is the club no one wants to join. Nevertheless, welcome.
Please keep us posted as you made your decision.
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02