@surftohealth88 Thank you so much! Best wishes to you and your husband too. I was anguish because the chief urologist pressured my husband into saying yes to surgery without offering him a chance to meet with their radiation oncologist on Thursday. I then found out yesterday that they scheduled his surgery on next week. I kindly asked them to cancel the surgery appointment because I am not going to pay anything up front unless my insurance approved this procedure. Thankfully, I was able to schedule a consultation with radiation oncologist after showing up there and convincing them that my husband has the right to see the whole circle of treatments before making his own decision. I feel like had I not advocate fiercely, my husband will not be able to get all information he needs in order to make his decision.

P.S. Lymph node dissection has been used for a long time, but it's not popular. There aren't many studies about it. All studies show high chance of relapse (40%-60%). I don't think it's a good idea to go on this route when higher chance of relapse is possible.