My RARP experience

I would like to share my experience about my RARP. I was 57 (turned 58 two days ago) and had PSA of 4.3 and was diagnosed with GS 3+3=6 in Nov, 2024.

I had a muti-parametric MRI first which showed three lesions and a transperineal biospy that gave the GS. After discussing with my doctor, reading a lot of pubMed papers, listening to folks here, I decided to get the surgery done.

Six weeks ago I had the surgery. Final pathology was 3+4=7 with 6 to 10% of pattern 4. Yesterday had my first post op PSA test and it came as less than 0.01.

I went to Vanderbilt University and my surgeon is a wonderful doctor. He listened to me, explained how I am a good candidate for AS and gave me reading materials (NCCN Guidelines etc ) to understand my choices, especially about AS. I came up with a decision chart that helped me make a decision. It is a series of Yes or No questions. Each Yes took me to the next one.
I have control of my bladder and don't wear pads like Depends but just to be safe I wear a thin one when I go out. Had a few episodes of involuntary leaks (about two three drops) mostly during afternoons or evenings but my nurse said it will get better over time. I do Kegels three times a day.
I want to thank all the folks that post their experience and especially appreciate @jeffmarc , @heavyphil @survivor5280 and others for the encouraging posts.
Hope my experience helps others who are trying make a decision about surgery.