Hi Simon
I hope the recovery is going well!
As you say, lots of conflicting info on the relevance of PNI from 'don't worry about it' to not suitable for AS or potential for PCa recurrence . There are some other threads on PNI here if you do a search. What was your PSA and PSAd before / at a couple of months ago? Has your Gleason score stayed as pre RALP estimates?
I have a similar diagonsis but pre treatment at 3+3 plus a relatively high PSAd (ratio of PSA to prostate density) of over 0.2 - with that & PNI together my Urologist is suggesting a move away from AS and towards treatment. The inference is from the higher PSAd that the Gleason score may be under estimated, and then PNI becomes more of a potential issue if left untreated. I may well have a follow up MRI & biopsy to be sure on any decision.
Overall I glean that PNI often indicates to clinicians to move more quickly towards treatment and this you have already done (albeit maybe without knowing about the PNI beforehand). Your post op meeting should be able to give you comfort and you may want to ask the prevelance / % of PNI in the pathology report. Given that it was T2, and presumably no PCa at the margins or prostate bed, there is hopefully little to worry about.
I can imagine you'll be well armed with questions for the next meeting - and good luck!
Cheers
Gi