My father saw 3-4 urologists in Dallas and all of them had the same concerns with surgery (scar tissue his j-pouch created). They all warned of potential fecal leakage and j-pouch failure if something went wrong during surgery.
However, after doing some googling we actually came across Dr. Bo Shen and setup a meeting with him to discuss. This was around June of 2020. He was absolutely against radiation which was what the Doctors in Dallas were opting to go with, even though my dad’s PSA and grade of cancer was off the charts. Dr. Shen feared that the J-pouch would fail because of the radiation.
We ended up getting my dad’s prostatectomy done at the Mayo Clinic a year ago last week actually and everything couldn’t have gone better! I’ll copy and paste the 3 doctors we consulted before finally deciding to go with the doctor at the Mayo Clinic.