Originally Posted by: Online Community Member
Thanks for that I've definitely got questions about nerve sparing down already (my consultant uses DaVinci) and when it's going to happen down. My take from other conversations here is that the team will identify treatment which is best suited based on a number of factors but it's worth challenging that anyway.
This is very true but some men are recommended to have surgery with adjuvant RT (with or sometimes without HT) and it always interests me to know why the MDT would recommend that rather than just going straight for RT/HT and saving the patient from two sets of side effects. You could also ask the surgeon:
- how many robotic RPs he has done
- what % of his/her patients are continent a year post-op (and whether that is properly continent or the NHS definition of one pad per day or less)
- what % of his patients can get an erection sufficient for penetration 12 months post op, and is this with the aid of tablets, pumps, etc or natural erections
- what % of his patients have positive margins on pathology
- what % go on to need adjuvant or salvage RT