Surgery allows for a complete pathology to be performed, definition of margins, and removal of known cancer cells. With other treatments, you must rely on imperfect medical tools/procedures (MRI, biopsy, etc.) and hope for the same. For myself (56 when RP was performed), I wanted to fully understand the situation ensure all known cancer was removed from my body. Obviously, cancer is cancer and you can't say PC will never return. However, having a RP removes the currently defined cancer in your body, and in my opinion, gives a man the best chance to live a PC-free life going forward. Also, if PC comes back, this path allows for more treatment options (difficult to have a RP post radiation).

Just my opinions based on my experiences/research. Everyone is unique and must make a personal decision based on their circumstances.

Good luck to everyone!!!

Jim