Prostate tumors grow slowly and are non-invasive compared to most other types of cancer. They tend to appear in older men, and treatment needs to be tailored to each case. Prostate cancers that have not spread are usually treated with surgery or radiation. Radiation therapy is primarily a brachytherapy approach that uses external beams or radioactive seed implants inserted into or near the prostate gland to destroy cancer cells. The standard surgical procedure is radical prostatectomy, which completely removes prostate tissue. An incision is made in the lower abdomen or between the anus and scrotum and the prostate is removed. Radical prostatectomy is the most likely way to cure prostate cancer. Another type of hormone therapy is used mainly in older patients who are in poor physical condition. Prostate cancer cells depend on androgens for growth. Hormone therapy treatment causes the prostate gland to shrink. Although it does not cure the cancer, it can control the growth of the tumor and may be performed prior to surgery. Some men may choose to lower testosterone levels by removing the testicles (orchiectomy). Drugs that lower testosterone hormone may also be used in the treatment of prostate cancer. Both hormones and radiation are common treatments for patients whose cancer has spread or recurred after surgery. Chemotherapy may be used in the treatment of prostate cancer when hormone therapy no longer works. In general, the best option for cancer treatment is to undergo a combination of therapeutic tools including surgery. However, the choice of treatment options still needs to consider whether these patients can tolerate the treatment approach.