My husband had his RARP in early June. His surgeon wanted to remove the six closest lymph nodes because one of them lit up on the PSMA he had done in March. We asked why the six instead of the just the one and he said there could be cancerous lymph nodes that didn’t show up on the PSMA and this concerned him because my husband is a Gleason 9. Sure enough TWO of the six removed were cancerous. It is my understanding that it is not unusual to remove the closest nodes if the docs have any concerns and also there are generally no lingering complications. My husband hasn’t noticed any problems so far. Consequently his treatment plan is more aggressive now and it all makes sense to us.