Based on my statistics, I am trying to remain positive with this recent diagnosis. I am heavily leaning toward robotic surgery. I had a consultation with my urologist today, and I was troubled by a couple of things he said:
1) My urologist said that he only goes into surgery with a "game plan" as to exactly which nerve bundles are spared. Based on my research, I thought most surgeons would wait to make the call once they can see the extent, if any, of progression outside of the prostate capsule.
2) My single positive biopsy core is on the lower corner of the prostate. The urologist seemed to indicate that this would possibly require the nerve bundle on that side to be removed. I find this puzzling, since many of the biopsy sites would be around the perimeter, and that the nerves seem to extend all over the backside of the prostate, making any biopsy site no better or worse for determining whether nerves would be spared. I have not read anything yet that indicates a surgeon would consider the biopsy location in the prognosis. Odds are, based on Partin tables, that my cancer is contained, regardless of the positive biopsy site. I am hoping that both nerve bundles can eventually be spared.
Am I being too optimistic to expect the sparing of both nerve bundles, or is my urologist being overly conservative? Thanks for your opinion in advance.