HI, my husband was diagnosed with T2B Gleason 3+4 2 years ago this month. He had very rapid robotic prostatectomy. Pathology report showed one tiny area without 'negative margin' i.e. small area of spread just on edge of that area, so recategorised as T3a. He therefore qualified for a clinical trial (RADICALS) which is running here and so had radiotherapy a few months later - which made us feel a bit safer to be honest.
SO important questions are, I agree - where is nearest centre of excellence if you are considering daVinci robotic prostatectomy - ask how many the surgeon has done - see numbers above to give you an idea of what to listen for - hundreds is what you want to hear. I agree London not necessarily a guarantee of better care/outcomes.Being a research-active teaching hospital is a good sign though - but ask more questions about the specific uro-ooncology service!
And ask what clinical research is going on that you might be eligible for - patients who take part in clinical trials ( in general terms not just prostate) have overlal better outcomes than patients who don't - and even being treated in somewhere which is 'research active' is a plus - tend to attract docs etc who are in touch with the latest evidence, more forward thinking, if in a trial you tend to be more closely monitored and have access (like my husband) to treatement that may be non-standard. By the way it is a ( not very well known) right under the NHS Constitution to be offered the chance to take part in clinicall research relevant to you...
Ask if they have any kind of pre-op patient and partner education session and if it has patient involvement - if not - then they should have and it makes a big difference to how prepared you both are for what lies ahead. It seems to me 2 years down the road that it is very hard to predict the 'other' aspects - incontinence, ED, other side effects -I don't know there is any hard and fast pattern on this on the various treatment options. There are 'generalities' or 'probabilities' but no guarantees. So what lies ahead will be a bit unknown and i would say put getting the best possible chance of getting rid of the cancer now and for the foreseeable future and let that be your guiding principle. Best wishes.