I had the robotic radical prostatectomy on Wednesday, August 17th at Memorial Sloan Kettering with Dr. Vincent Laudone. What an amazing doctor and facility. He is not only a great doctor but also a very caring and kind man. The Josie Robertson surgery facility is incredible. I am so happy that I finally decided to select that doctor and MSK. The doctors in Florida diagnosed a Gleason 6 back in March. I decided to get other opinions which took me to MSK. They did a MRI guided biopsy on July 1st and found that I actually had a Gleason 7 cancer which prompted a strong recommendation for surgery. I am now 12 days out of surgery and am doing pretty good. Still very sore and bloated from the surgery. I have had very little incontinence and am only using the padded underwear at night and a pad in my underwear during the day if I leave the house just to be safe. So far, I have only had a couple of accidents and am able to control my bladder most of the time. I know from my doctor and nurse that is unusual so I am very grateful. As for erections I have no clue because it is the furthest thing from my mind right now. Having lost my Mother and brother to cancer the important thing to me is to be cancer free. Of course, I hope erections return but I am not going to let that control my recovery or positive thoughts about the future. The pathology report was pretty good except the cancer had penetrated the prostate in one area but the margins were clear. There was a perineural (sp?) invasion but the doctor said it was within the prostate and common for this type of cancer. Lymph nodes and semninal vesicular were all clear. Mostly good news that will require vigilance on my part for regular checkups going forward. But no chemotherapy or radiation at this time is recommended. My only wish is I would have requested a MRI guided biopsy in the first place so the more aggressive cancer could have been found back in March and I could have had the cancer removed sooner and maybe it woudn't have penetrated the prostate? I read about the MRI guided biopsy but didn't understand the importance of it until it was too late.... Hopefully, others facing a similar decision will go with the MRI guided biopsy to help get a more precise diagnosis sooner rather than later. I know I am a lucky guy and truly blessed compared to what many of the others face. Thanks for all the kind words and encouragement over the past weeks. It was really helpful. Hope I can do the same for others someday. My best, John
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