Surgery removes your prostate and in most cases all the cancer

You may have open surgery, laparoscopic (keyhole) surgery or robot-assisted surgery

With open surgery you will have a big cut in your tummy

With keyhole surgery you will have several small cuts in your tummy

With robotic surgery, you will have several small cuts and the surgeon will use a robot

Sometimes the surgery is nerve-sparing, to try to preserve potency

After the operation your erections will be softer or you may not have erections

After the operation you may be incontinent, but this is rare and usually short-lived

After the operation you will not be able to father a child naturally

If your life-expectancy is less than 10 years, you may not be offered surgery

If your cancer is not aggressive, active surveillance may be a better choice

 

Pros

It usually removes all the cancer, curing the disease

Your blood PSA will drop to a very low level

Cons

You will probably have softer erections or no longer be able to have erections

You may have problems with urinary continence (poor control and leaking)

Any major operation can cause side-effects and even, very rarely, can result in death