I was diagnosed with prostate cancer in 2017 - Gleason 6 - Active Surveillance - Remained same until July 2022 when PSA jumped over 4 again. In July, showing Gleason 7 in 10 of 12 biopsies. MRI in December including prostate and pelvic floor shows contained in the prostate with no external lesions.
I had pretty much decided in 2017 to immediately have the Davinci robotic assisted prostatectomy should Gleason score show aggressiveness.
They have me schedule for surgery on 3/29. The Vanderbilt surgeon recommended Lymph Node Disection. When I researched it, that could mean anything from a few up to 20 lymph nodes associated with the prostate. Research indicated that if having ALL removed, could result in lymphedema in the legs. If I understood the research correctly, there is only a 7% chance of having in the lymph nodes. I know I will clarify this with the surgeon in the next week or so but pretty dang sure I don't want to have more than 3-4 dissected.
Any experience with this? Any recommendations to not have the surgery and to have radiation or other options?
My research had said that most men recover some ability for erections within a year or so. Has this truly been the experience of many? A very good friend had this done 4-5 years ago and has never achieved erection even with Viagra or Cialis. Can erections be achieved or is there significant work on my part to restore that?
I appreciate anyone who can take a moment to share their experience or encourage me in the direction that I'm taking, or to recommend other options (a little late for that but still in time to call off before 3/29).
Please read this before deciding:
I know a guy who got off the gurney when he was being wheeled into the operating room, so it is not too late until they start cutting, or at least give you anesthesia.
Only 35% of men who were previously potent retain their potency after nerve-sparing prostatectomy, and only 4% of men who were ≥ 60 years old with functional erections pre-surgery achieved back-to-baseline erectile function (my guess is that drops to near zero for anal penetration).