Well, you have found that there are many options for the type of surgery to have. I told my wife one day before my surgery that I wished there was only one way to take care of this disease. The options and information can be overwhelming.
My opinion is that the skill and experience of the surgeon is more important than the method used. You can find excellent results with both
open and laproscopic surgery and you can find others that did not turn out so good. So ask questions. Ask about
the surgeon's continence success rate and his/her ED success rate. These two items will be most important to you once the cancer is gone. Good surgeons have nothing to hide and should be able to provide these numbers.
open sugery and would do the same thing again if I had to do it over. I was dry the day after the catheter came out and now (9 months post-op) I have an active sex life with the help of Viagra and penile injections. My erections are becoming more and more natural and I now use very little Trimix in the injections. I take L-Arginine every day as well as 50mg Viagra.
So, that was my decision. Good luck with yours...
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.