When is surgery the best treatment for prostate cancer?

In general, prostate cancer surgery is best performed in patients with clinical stage T1 or T2 prostate cancer (confined to the prostate gland) and in selected men with clinical stage T3 disease. While there are no absolute cut-offs, men with a PSA level less than 20 ng/mL and a Gleason score of less than eight have a higher likelihood of cure. In certain circumstances, patients with more serious parameters are offered surgery. Prostate cancer surgery is usually restricted to men who are healthy enough to tolerate a major operation and have a 10-year or more life expectancy. Life expectancy is assessed by both patient age and health.
What types of surgeries are available to treat localized prostate cancer? 

• Open Radical Prostatectomy
• Perinal Radical Prostatectomy
• Retropubic Radical Prostatectomy
• Minimally Invasive
  • Robotic Assisted Laparoscopic Radical Prostatectomy
  • Laparoscopic Radical Prostatectomy