What is the preferred option for early stage prostate cancer? Surgery is the most important way to cure early stage prostate cancer Radical prostatectomy has been the first procedure used to cure prostate cancer for more than 100 years, and although new treatments have emerged in recent years, radical prostatectomy is still the gold standard for the treatment of early stage prostate cancer. In addition, pathological examination of the surgical specimen provides more comprehensive information on the stage and differentiation of the tumor, which provides an important basis for the selection of subsequent treatment options. A 23.2-year follow-up of 695 patients with early-stage prostate cancer found that the mortality rate in the radical surgery group was 57.6%, while the mortality rate in the watchful waiting group was 71.0%. Radical surgery can significantly reduce the mortality rate of patients with early-stage prostate cancer. Sun Yinghao, Department of Urology, Shanghai Changhai Hospital Is surgery the only treatment for early stage prostate cancer? –For some early stage prostate cancer patients who cannot tolerate radical surgery because of their age and poor general condition, do they still have a chance to be “cured”? “The answer is yes. The answer is yes, and that is —- radiation therapy. Radiation therapy is one of the effective means of curing early stage prostate cancer, and several clinical studies have shown that adequate doses of radiation therapy can achieve similar results to radical surgery over a follow-up period of about 10 years. There are many types of radiation therapy, but conventional external radiation therapy has poor selectivity of the irradiated area and can easily cause rectal damage. How to choose a surgical treatment plan for prostate cancer – the combination of doctors and new technology can only be 1+1>2 On the basis of traditional open radical prostate cancer surgery, the development of new technology has promoted the rapid development of laparoscopic and robotic radical prostate cancer surgery. The development of minimally invasive technology has brought about less trauma and more precise operation. Should patients choose the more expensive and more highly sophisticated surgical method in the choice of surgical method? The answer is no. It is not the weapon that determines the outcome of a battle, but the person using the weapon. Surgery is, after all, done by people, and proficiency in new technology can only translate into surgical results. In addition, the choice of surgical modality also requires consideration of the lesion itself, and various surgical procedures have their own advantages.