I believe the general consensus is that if there is a problem with falling
cancer cells, that problem is greater with LRP than will RRP.  During RRP,
the intent is to take the prostate out whole (though sometimes it is brittle
and breaks).  The intent of LRP is to cut it up and bring out the pieces.

However, the idea of escaping PCa cells into the cavity being dangerous is
still theoretical at this point.

I had RRP 4½ years ago.  If I had to make the decision today, I'd seriously
consider RLRP.  I really like the idea of the doc being able to see what is
going on at a magnified view and able to make very precise cuts without
having fight fat and organs pushing in from all sides.

I can't say enough about my surgeon, Dr. James Eastham of Memorial
Sloan-Kettering.  I had tremendous results, and I had little trouble with
side effects afterwards.  A warm and friendly guy.

MSKCC also has a pioneering Laproscopic surgeon (Guillonneau) and I had a
friend who was successfully treated by the head of brachytherapy (Zelefsky).

I also highly recommend their post-surgical "penile rehabilitation" program,
headed by Dr. John Mulhall.  His explanation of how surgery and radiation
affect erectile function is great.

Michael K,
I picked robotic because the doctor can see better, and motion control
is easier. The recovery time is very fast. The surgical specimen goes
in a plastic bag, so there is no worry about dropping cancer cells.
Steve U

Michael -

If you'd write to me at lg36 at comcast.net, I have some suggestions
for you.

-Gordy