I can tell you that I recently had surgery with Dr. Patel and everything went fine. I am a few years younger- 52 with a PSA of 3.1 and a pre-opt gleason of 6(post op-7). I can only speak to the procedure and post operative results. My surgery was July 2nd, I was released from the hospital on july 3rd and I am back at work on the 16th. In my case I wanted the stuff out of me and was concerned with the risk of not being able to have surgery if I opted for radiation now. Only time will tell but all indications are pretty favorable.
With regard to Dr. Patel, he is one of a few that has done this many procedures. In fact, he was doing approx. 5 per day. The administrative side of things was not as smooth as I would have liked to see. We were told that their practice has grown so quickly in the last 6 months or so the administrative side has not necessarily caught up. Other than that I wa taken very good care of. The biggest benefit I found with the robotic surgery was the recovery time due in part to less blood loss (I lost only about a cup) and less invasive incisions. I am still working on the continence issue but that seems to be improving everyday. If you need more detailed info let me know I would be glad to share
good luck with what ever you decide