@nelsjenn I had DaVinci RARP in 2019 by Dr David Samadi. I was Gleason 4+3 unfavorable and surgical pathology showed all negative except a ‘tiny’ break in the capsule, which did NOT show on MRI.
No long term continence issues, but persistent ED; suffered recurrence 5 yrs later and had SRT with ADT.
My cancer was extensive (PNI) and I consider myself lucky that it did not spread further.
If you’ve been on this forum for a year or more you will hear every possible combination of both positive and negative factors in all surgical cases.
Even with the best surgeon, totally negative surgical pathology, low Decipher score, no genetic issues - men STILL suffer recurrence 30% of the time; that’s a fact.
So that’s why I suggest you blot out the nuts and bolts of the various procedures and focus on the surgeon: his/her reputation, track record, ability to answer all your questions without reservation and your comfort level with them.
These are only my personal observations having been thru both surgery and radiation and having met my quota of doctors - many winners but some definite losers! Be Well
Phil