Even if there were some guarantee that there is no high-grade core somewhere in his prostate (no such guarantee exists, of course), there is too much G6 to seriously consider active surveillance.
I'll let other talk about
the RP vs RT decision (and the various types of RT), but will say only that *IF* he chooses surgery, the most important factor
influencing ontological, urinary, and potency outcomes is in your hands: choosing a highly experienced surgery and not the approach (
open, laparoscopic, or robotic). If you look at studies designed to compare approaches,
open and robotic are very evenly matched.
open, if I remember, averages a 1/2 day longer hospital stays and perhaps 100 cc more blood loss. I had an
open, but if I were choosing a surgeon for a RALP, I would want one who has done at least 1000 procedures.
All the best to you and your husband!
Post Edited (DjinTonic) : 7/24/2021 7:32:49 PM (GMT-6)