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@jeffmarc

I was out at clients offices, working on their computers four days after my robotic surgery. Not strenuous work. But mostly on my feet. You probably won’t need more than two weeks to totally recover, 2 weeks is around the time when they removed the catheter. After a week you will probably be fully mobile.

Your worry that radiation damage may be too much. If they say they can do it with radiation you are better off than having a prostatectomy. Radiation has become much more effective and targeted in the last few years. Listen to your doctors advice. There is always a danger that when they do the surgery that they can leave something that can cause problems in the future, and you usually can’t get an erection after surgery.

You don’t mention if the cancer has spread out past the prostate. Did they tell you if you were a T2 or T2c T3?

Have they talked to you about putting you on ADT right away. That can stop your cancer from growing while you are making this decision, it can also reduce the size of the metastasis.

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Replies to "I was out at clients offices, working on their computers four days after my robotic surgery...."

I really appreciate the prompt and helpful response. In response to your questions:
-They are fairly confident it is T2 but as a precaution I will get a PET Scan in about 1 week the day before I consult with a Mayo Radiation and Robotic Surgery Specialist.
-They have not discussed ADT, I suspect because I told them I expect to make a treatment decision within a week of the PET Scan and consultations and they indicated treatment or surgery can be schedule a month or so after that. Of course this could change based on the PET Scan,

I am really impressed with the Mayo Phoenix medical team. They have shared so much more information than the non-Mayo Urologist/Surgeon, Oncologist and Radiation specialist I consulted with before going to Mayo did. I think they all had great intentions but seemed to lack the time and resources to dive deep into details . . . and the details make a huge difference.

I agree with this. I went on ADT immediately and, four months later, have just finished my 28 x IMRT. I'm really happy with the outcome but I shudder when I hear the effects of surgery. Feel like I dodged a bullet because one doctor was really pushing RRP (until he switched - strange).

The IMRT was mostly about the logistics of getting to the hospital on time, every time, day after day. The side effects for me have be pretty limited. Manageable difficulty peeing and some severe fatigue in the last few days. Both of these should clear up withing 4 weeks.