@jsh327 ,
You say, "getting the best possible surgeon operating at a prostate cancer center of excellence with a documented history of 1K+ prostatectomies resulting in a high percentage of continence (>90% within 6 months) and sexual function (comparable to pre-surgery within 18 months, assuming nerve sparing)."
It's not practical for me to travel to a center of excellence. I was going to choose radiation but my ProstoxUltra and ProstoxCMRT both came back high risk for radiation, so I've chosen surgery. My surgeon has done hundreds- not thousands. I have read no bad reviews of him. How are surgeons ever going to get to over a thousand RP's if they don't start with a first one and gain experience? I imagine that they are highly supervised at first and not allowed to do it independently until they've proven their skill.