How Well It Works
Radical prostatectomy is generally effective in treating prostate cancer that has not spread. This is called early-stage cancer. Following surgery, the stage of the cancer can be determined based on how far it has spread. PSA levels will drop almost to zero if the surgery successfully removes the cancer and the cancer has not spread. If cancer has spread, advanced cancer may develop even after the prostate has been removed.
For men younger than 65 who have early-stage cancer (stages I and II, also called localized prostate cancer), those who had surgery lived longer than those who used active surveillance. But for men older than 65 with early-stage cancer, those who chose surgery lived just as long as men who chose other treatments, including active surveillance.Reference 1
Studies show that how well you come through the surgery and the extent of your side effects depend more on the skill of your surgeon than on the kind of surgery you have.Reference 2
|By:||Reference Healthwise Staff||Last Revised: September 12, 2012|
|Medical Review:||Reference E. Gregory Thompson, MD - Internal Medicine
Reference Christopher G. Wood, MD, FACS - Urology, Oncology