What is surgery?

Surgery for locally advanced prostate cancer

This involves removing the prostate gland and is known as a radical prostatectomy. This operation is only suitable for a small number of men with locally advanced prostate cancer. This is because it may not be possible to remove all of the cancer cells that have spread outside the prostate gland. You can discuss with your specialist whether a prostatectomy would be suitable for you.

You will usually have hormonal therapy and/or external-beam radiotherapy after your prostatectomy.

Other types of surgery may sometimes be carried out to help with the symptoms caused by a locally advanced prostate cancer. An operation known as a transurethral resection of the prostate (TURP) may relieve symptoms such as difficulty passing urine. Another operation known as a subcapsular orchidectomy may be carried out to remove part of the testicles. This reduces hormone levels and can help to control the cancer and symptoms. This is a hormonal therapy.

Your doctor will discuss the surgery with you before you have it. They will tell you what it involves, how successful it might be in treating your cancer or managing your symptoms and the possible side effects. Your doctor should also tell you about other treatments that may be more suitable for you.

Back to Surgery explained

Who might I meet?

A team of specialists will plan your surgery. This will include a surgeon who specialises in your type of cancer.

What happens after surgery?

The hospital staff and sometimes a district nurse will help you and provide support as you recover from your operation.