Your research is the key to eventually reaching a treatment decision you are comfortable with. Despite what you get from us on this forum it is your confidence in your treatment provider and the type of treatment that will impact your decision.
In my case I had not read Walsh's book prior to reaching my decision to schedule Da Vinci surgery but I did read it after that and before my surgery. The surgeon that I chose is located at a university medical center and had done well over 3,000
open prostatectomies before starting to do the Da Vinci in 2004. He told me the reason he elected to start doing the Da Vinci was to prove that it was not as good as the
open procedure. After having done enough to be able to compare the facts he became convinced that the Da Vinci was the better choice for those with early stage PCa. If the biposy results in a high Gleason along with a relatively high PSA then he will not do a Da Vinci and refers the patient to one of the surgeons on staff that do the
open procedure. The primary reason he gives for the Da Vinci to be better then the
open for early stage PCa is the great field of view that he has allowing for more preciseness in the nerve sparing and the bladder neck reconstruction. One of the posters to this forum likened this to the contrast between the surgeon having his eyes 12 to 24 inches from your prostate and within just a few inches. If you have not watched a video and a Da Vinci being performed you may want to add that to your research. There are several on the Internet that have been done by various surgeons.
Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07
Began injections in April '07
Undetectable PSA on 6/25/07