There’s only the one surgeon who uses that technique at FH and I believe it’s on a case by case basis. I’ll post more about it after the consult. As far as I know, they’re not part of the clinical trial.
I understand that only about 10% of the surgeries performed today are pelvic fascia-sparing. According to Dr Schaeffer, it adds about 45 minutes to the procedure and the surgeon’s workspace is smaller. So, it’s more difficult and there’s an increased risk of not getting all the cancer out, but the results appear to be worth it. It’s definitely worth the time and effort to find the best surgeon you can!
Dr Peter Attia has a great podcast (paid subscription) with Dr Edward Schaeffer that has a segment about the procedure. Dr Schaeffer is also participating in the clinical trial and has been using the technique for about 2.5 years now.
Nick