This sounds like (no surprise) you had a good interview/appointment. Here’s a couple points I noted--in the order that you mentioned them--as I read through your post…
The surgeon's comment about
age matches my earlier comments and is widely accepted amongst industry-wide PC thought-leaders. In fact, as you would imagine not every patient/doctor interaction is going to be identical, but similarly "young-ish" men (you are nearly a decade younger than the average age at diagnosis...I was 5-years younger than you 10-years ago) here at HWPC with cases similar to yours have also reported that when they visited ROs (not just Uros
) and asked them a similar question ("how would you advise your brother") they've sometimes received similar feedback about
radiation being more appropriate for older men, and that surgery is best suited for the young & healthy.
Agree that nerve bundles are a game-time decision. But post-surgery sexual performance satisfaction surveys show very similar results for men retaining both bundles and men losing just one bundle, although there is a signficant drop-off with men losing both bundles.
100 surgeries post-training in the last 2-years is not a lot. Interesting studies have been published on the robotic-assisted RP "learning curve" in terms of complications, operating time, and other factors, and the inflection point is not reached until the typical surgeon has performed several hundred procedures. Caution.
Penile shortening...overblown in my opinion, perhaps colored by my own experience. Yes, in the several weeks after surgery you will see some withdrawal from non-use and as a natural reaction to all the handling, catheter, etc. After those first few weeks and as usage slowly renewed, things were fine and then certainly by the end of year-1 (and since then with daily use) the size was fully restored. Mostly you read about
this from men with enduring ED issues (therefore very little usage) which typically occurs with advanced PC cases (yours is not) where he has also undergone surgery + SRT.
Agreed with your comment, also frequently expressed here for other favorable-risk cases, that choices are both a blessing and a curse. Best wishes...edit: fixed 2 typos
Post Edited (Blackjack) : 8/1/2019 1:01:03 PM (GMT-6)