If you are diagnosed with early-stage prostate cancer, found only in the prostate, surgery may be recommended. Surgery may also be an option in advanced prostate cancer, to control symptoms.
There are many types of surgery, all of which involve the surgeon removing the entire prostate gland, seminal vesicles and the lymph nodes close to the prostate.
Radical retropubic prostatectomy. This involves the surgeon making a large cut in your abdomen, below the belly button. The surgeon then removes the prostate through your open abdomen.
Laparoscopic prostatectomy. The surgeon will make several small cuts in your abdomen and insert surgical tools through these cuts. Then, using a laparoscope, which is a long, thin tube with a camera on the end, the surgeon can see the prostate and will remove it through the small cuts using the surgical tools (often called keyhole surgery).
Radical perineal prostatectomy. The prostate is removed through a cut that is made between the scrotum and the anus.
Robotic laparoscopic surgery. Small cuts are made in the abdomen and the surgeon uses a laparoscope and a robot to remove the prostate through the cuts. The surgeon operates the robotic arms using a computer.