Who should NOT get surgery for prostate cancer?

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Should every man with prostate cancer have surgery? Not necessarily.

In this video, I discuss 11 situations where men with prostate cancer may want to think carefully before choosing surgery—and the questions you should ask your treatment team before making a decision.

We discuss urinary incontinence, erectile function, medical fitness for surgery, metastatic and lymph node-positive prostate cancer, extracapsular extension on MRI, high-risk disease, cribriform histology, robotic surgery, urinary symptoms, and more.

Importantly, this is not an anti-surgery video. I am a radiation oncologist, not a urologic surgeon, and many men are excellent candidates for surgery. No single item discussed here automatically means that someone should not have surgery. Instead, think of this video as a checklist of issues worth discussing with your urologist, radiation oncologist, and other members of your prostate cancer treatment team.

The goal is not to choose “surgery” or “radiation” in the abstract. The goal is to choose the treatment that makes the most sense for your cancer, your health, and your priorities.

Topics include:
Urinary continence • Erectile function • Surgical/anesthesia risk • Radiation oncology consultation • Metastatic disease • Lymph node-positive disease • Extracapsular extension • High-risk prostate cancer • Cribriform histology • Robotic surgery • Urinary obstruction and HoLEP

This video is for general educational purposes and is not individualized medical advice. Treatment decisions should be made with your own physicians.
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Urology
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