The point just made about
the probability of not sparing the nerves is valid and of concern.
Ask the surgeon the following questions:
How many prostates have you removed?
How many do you remove each week?
How many of your surgeries have also required salvage radiation?
What percentage have to use pads for incontinence?
What percentage have significant ED?
Under what risk classifications do you practice nerve sparing technique?
Under what situations do you intend to remove the nerves?
What risk factors do you use....PSA, number of positive cores, proximity of cancer to the capsule, Gleason grades, etc.?
Are you positive you will use nerve sparing technique in my situation?
How many men at my risk level have you operated on? What is the actual experience among these high risk men regarding surgical success, need for SRT, incontinent, ED?
You are ultra high risk. Make sure the surgeon you appear to be choosing is truly the best for you and well experienced with great results with men of your risk level.
BTW, I would ask some of the same questions of the radiation oncologist regarding their experience and success rates. Instead of addressing the nerve sparing which is not applicable to radiation therapy, I would inquires about
risk levels and the use of combination brachytherapy and external beam therapy. Some call this part of the "triple play" and some call this "brachy boost".. Search for the best you can find.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 since February 2011. Located in Cumming Georgia north of Atlanta
Post Edited (JNF) : 3/17/2019 5:46:39 AM (GMT-6)