A few thoughts:
> If you choose surgery, and if you can travel, try to find a surgeon with lots (1000+ or more) of experience with robotic surgery. I went with a surgeon who had done only 350. Not so great. Had to have a surgical hernia repaired about a year later. about a month later, another man had the same surgery with my surgeon and was sent home with a nicked bowel. Neither the surgeon or hospital caught it before that man was sent home. That man died on sepsis -- my wife has many contacts in medical community, so I know this to be accurate. No substitute for deep experience. A lot has to happen right with this surgery -- this is a 4 plus hour procedure, and is highly complex. I had a hip replacement about six years ago -- that is simple carpentry compared to a RP.
> In talking with surgeons, ask about nerve bundles. Removal of nerve bundles can have a major effect on ED.
> First two days home are a bit foggy, because they send you home so quickly -- in my case 16 hours after I came out of the ER. If all goes well, expect a quick recovery from surgery. I went diving off Vietnam 90 days out from surgery -- the hernia was there by then, but I didn't know what it was.
> When all is said and done, the most important score at diagnosis is Gleason. With a Gleason 6, your outlook is generally very good -- radiation might be an option you would wish to consider.
DaVinci surgery 11/09. Clean margins, clean seminal vessels.
Rising PSA noted 06/11
Surgical hernia needed repair.
Time to recurrrence 18 months
Three month doubling time (summer 2011).
PSA rose from .07 on 06/11 to .17 on 11/11.
MRIs and bone scans negative so far.
Started hormone therapy (Lupron/Casodex) 12/11
Began radiation (SRT) 02/20/12.
Finished SRT 04/16/12
Last Lupron shot 03/12
PSA and testostorone "undetectable" 07/12
Next PSA and testostorone test early January