Hello Stefano,
   Sorry for your troubles.  It seems with the reports we have here, that a
Radical Prostatectomy, may not be advantageous concerning the numbers given.
PSA of 11 is high.
Gleason of 8 is high
I am no Dr. and feel that the Dr.s you have are treating you well.
I believe the nerve graft is sometimes from a leg to help your erection....
Anyway, some Dr.s remove one or all nerves depending on cancer spread.
Erectile nerves.
Sometimes they replace those with grafts from leg muscle.....
In any event, you are under good care, and hopefully all the nerves (both)
will be spared, or one will be spared.
One can make you fine.....Loss of 2 can make you not fine....
Nerve graft can work!
I am not a Dr.  I have one nerve.  It works...I had RP 1999
Good wishes.  Let us know how you are doing.
John Loomis

Your English is excellent.

There are few people on this newsgroup who caught prostate cancer at 41
years old.  I am extremely sorry for you.  I hope you were not hoping for
children.

Surgery is about the only alternative for a 41 year old and then only if he
is clear of cancer in his bones and lymph nodes.  Have they performed a bone
scan and CAT scan to make sure it has not already spread?

Otherwise, your age, PSA, Stage, and Gleason put you at moderate risk of
recurrence.  You will need to attack it aggressively and not give u until
you beat it or it beats you.

As to sural nerve transplants, there are a few here who have had the
transplant and who will probably comment.

You are the first I have heard of that had  chemo before RRP.  I had a couple
months of casodex tablets before radiation, but nothing before the RRP.  I have
always heard that radiation and chemo turn much of the prostate into scar
tissue and make surgery difficult.  Your stats sound much like mine when I was
diagnosed, but I have no idea what "surged" means.

Stefano,
i had a seral nerve transplant done with my radical prostactomy in Jan
2002.
For the first 18 months, to achieve erections i only had success with
injections. Since thne i am able to have intercourse with meds (viagra
and levitra). Patience is a virtue.

I have no unpleasant after affects from the transplant in the foot
area -  occasional tingling is all. I am very active - cycling and
running, so it has not stopped me from doing those activities.

If you are planning to have children in the future, you should
consider making a deposit with a sperm bank, as the surgury will
eliminate your elaculate and a sperm bank seems less painful than
extracting sperm through other means after your surgery.

Good luck and peace to you..........Bill.