Most often, surgery is a treatment for early-stage prostate cancer that has not spread to distant sites such as bones and lymph nodes. In this case, the goal of surgery is to remove all cancer. The most common surgery for prostate cancer removes the entire prostate gland using a procedure called radical prostatectomy. Surgery may also be used as part of a multimodal approach to treating aggressive or metastatic prostate cancer. Surgeries performed in high-volume medical centers by skilled doctors who routinely perform them result in the best outcomes. Some patients may be candidates for more than one surgical technique. Your doctor will help you choose the best form of prostate cancer surgery for your condition. As an open approach to prostate cancer surgery, the surgeon creates an incision in one of two possible areas to remove the prostate and nearby tissues. During a radical retropubic prostatectomy, the surgeon makes an incision in the lower abdomen, extending from the belly button to the pubic bone. A radical perineal prostatectomy is performed through an incision made between the anus and the scrotum.
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