we are same age I had same fears, my numbers were worse, but docs told me surgery was still best first up treatment option, uro said he would go as wide as possible and only spare nerves that were clear of prostate as >80% involvement in some cores at apex.
Post op pathology showed worse scores with capsular penetration of tumor by .2mm, but surgical margin cleared it by .7mm, as close as it gets. I asked doc was this enough clearance he said in this game it is and he also said if I ever had any doubts about
choosing this procedure, (and I did because it cost me over $30K), then forget about
them because he doubted he would of got clear margins doing
open procedure even though he has done thousands and he also said he didn't think there was a surgeon that could of got clear margins with an
open because of the
location of the break out. he stressed to me again I was a very lucky man and that in a few months or a different choice of op things would have been vastly different for me. So yep I am very happy with that.
That is me, for you, make sure you are happy with treatment choice based on doctors advice, it is a numbers game but remember those numbers include all candidates, if you could run the same with low Gleason score numbers results would be better, most importantly be confident in your choice of doctor he is going to see your willy and cut your innards.
If your worried the the actual surgery don't it's easy, people are getting paid a lot of money to do it. let them worry, you'll be asleep anyway.
age 49, dx 21-01-2011 PSA 5.6
12 cores all positive >80% in some, Gleason 3+3=6, T2B
RALP 10-03-2011, post OP pathology, Gleason 4+3=7 and 1% 5+4=9
Prostate 50g, 48mmx40mmx40mm, largest tumor 48mmx34mmx24mm, extensive PIN also present, EPE left apex .2mm, perineural invasion, clear margins closest was .7mm, lymph nodes not checked.
path stage pT3A Nx Mx R0
post OP PSA ? 11/5/2011 - 0.03