Well, as others have said, my personal experience, not medical advice.

I had surgery in March 2014, it was nerve sparing, a very good urologist surgeon.

When reviewing the pathology report and going over his notes and observations from the surgery he said "Kevin, this is an excellent pathology report and from my observations you won't have any problems in the future..."

I'm thinking yes, great, but put my clinical data in the MSKCC nomogram and it says I have a 30% chance of recurrences...!

Now, that also means I have a 70% chance of it not...

As you can see from my clinical history, I was in the 30% group...

That was no fault of the surgeon, keep in mind the state of imaging in 2014 but even today imaging can only see so much.

I did discuss with my surgeon that once he started and saw the PCa was such that the nerves had to go, ok, cure was the priority and I could deal with the other stuff.

To this date I still have sexual function, 10 years later, not even SRT could do harm. Even when on ADT I never lost libido, wife just shakes her head....

Today's imaging is a far cry from the 2014 days so if possible, image and see if that informs your decision treatment.

Keep in mind today's imaging has its limitations with micro-metastatic PCa so a negative result is not necessarily so.

So, perhaps the discussion with your medical team is start with the objective of nerve sparing, if you see evidence...

I can't speak to the concept of the surgery causing spread of PCa cells, that's a discussion for your medical team, 2nd opinions...?

Kevin