I chose the open RRP due to the fact I really liked my Dr. We are close to the same age and he even said it kinda hit close to home for him that I was this young. I knew he would do everything he could to spare the nerve on the one side that appeared to be free of cancer in the biopsy to help keep my sexual function. I also liked the fact that when My Dr. does the surgery he is assisted by another surgeon in the practice (He is also in his mid 40's and a friend of some of my wife's family). I have not heard any of the DiVinci guys say that there was a second Dr. assisting. I liked the fact that there were 4 hands and 4 eyes looking at things in there. He also said that his best tools are his fingers. To be able to feel anything and everything he wants too. As far a blood loss and vision My Dr. said he can see everything just fine and they do so many of these that they almost never have to give blood during the operation. I did have a bleed that caused some complications, but it was later that evening or the next morning after the surgery.
My Dr's office and the hospital he uses is only a mile from my house. Made it great for the family and the return visits for check up's.
Also, at this time in Oklahoma City there is only one DiVinci machine and only two urologist that do the surgery with it.
Although I'm having a harder, longer time getting the bladder control back that most of you seem to have I'm still happy with my outcome.
I would probably make the same decision today if I were to do it all over agian! You have to go with your gut feeling on what is best for you.
PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
Biopsy - 3 of 12 positive (up to 75%) all on left side of prostate
RRP on Oct. 17, 2006 - Nerves on right side saved.
All Lab's clear. No Cancer outside prostate
Cathiter in for 3 weeks due to complications in healing. Removed Nov. 9, 2006
First Post op PSA on Dec. 11, 2006 Undetectable 0.00
Next Office Visit Feb. 12, 2007