What onderful news on your husband's scans!! This calls for a celebration!
I am bzup's wife and while I have read hundreds of posts on this forum, I have not commented up until now. PLEASE consider a 2nd opinion as to treatment, specifically surgery in your husband's situation. When my husband was diagnosed, we spent a couple of months researching and consulting with physicians. We spoke to 3 doctors in person and consulted with 2 by telephone before settling on Dr. Vipul Patel in Columbus. Our local urologist was qualified and willing to perform a radical surgery, but did not have a lot of experience with the robot. He suggested we consult with one of his partners OR with a doctor from one of the major hospitals in the area. Next, we consulted with a radiologist to discuss seed implants (our first choice of treatment). The radiologist was very qualified to perform the implants, but after learning more about the potential difficulties, we reconsidered our thought on surgery. Third, we consulted a highly regarded surgeon at Duke. He was VERY qualified to perform radical surgery, and we really liked him, but if we were to opt for surgery, we prefered the robotic. Next, I emailed the Cleveland Clinic and asked about Dr. Gong. Dr. Gong graciously called us to discuss our particular situation. He was very well trained, but agreed that Dr. Patel at OSU was an excellent choice for a surgeon to perform a robotic surgery.
My point in offering this information is that seeking multiple opinions is a great way to get comfortable with the terminology, the procedures, the options, the variable success rates and outcomes. Please consider getting at least one other opinion. I have read wonderful things about Dr. Menon (sp?) at Michigan. You only get one chance at the operation and you have every right to expect the best outcome for your dear hubby.
As for sparing the nerve bundles - this is an excellent reason to seek out another opinion. I don't think I'd feel comfortable hearing that news from one doctor. If you seek other opinions, and those docs concur, you will rest easier knowing that you have double-checked his theory.
Here is an excellent article that our son forwarded to us, yesterday. http://www.cnn.com/2007/HEALTH/conditions/07/24/cancer.prostate.reut/index.html
Best wishes. Our thoughts are with you as you work through the decision-making phase of your journey.
This site has been a blessing to those of us who have personally traveled on the road to Pca recovery and cure.
PSA rose from 1.7 to 3.1 over 2 years.
Biopsy confirmed cancer in 2 of 12 cores (3% and 4%)
Pre-op clinical pathology - T1C; Gleason 6 (3 + 3)
Post-op pathology - T2c; Gleason 3+4, 5% cancer, clear margins, no spread beyond prostate
Nerve sparing, robotic surgery, Ohio State University Hospital, Dr. Vipul Patel, July 2, 2007