Access Now: AORN COVID-19 Clinical Support

Home >  News >  July, 2012

Does Prostate Cancer Surgery Save Lives?

Study: Prostate cancer surgery doesn't appear to save lives compared with observation alone.

Published: July 20, 2012

A study of early-stage prostate cancer patients sees no statistical difference in mortality between those who undergo treatment surgery and those who don't.

This finding, published in the July 19 edition of the New England Journal of Medicine, is leading researchers to speculate that forgoing prostate removal surgery in favor of continuing observation may be a wiser option, particularly since the risks of radical prostatectomy include impotence and incontinence and since most prostate cancer diagnoses are not fatal.

"Many men, when they hear about a diagnosis of prostate cancer, become fearful. They think if they aren't treated they will die from it," says Timothy J. Wilt, MD, MPH, of the Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, who co-authored the study. "Our results clearly demonstrate that's not true. The overwhelming majority will not die of their disease if it's left untreated."

For the study, the researchers followed the cases of 731 men (average age: 67 years), each of whom had been diagnosed with early-stage cancer after a prostate-specific antigen test, over more than a decade. About half underwent surgical treatment, while the other half did not.

A little less than half of the patients (48.4%, or 354) died during the course of the study, but the deaths were divided evenly between the 2 groups: 47% of the surgery patients (171 of 364) and 49% of the non-surgery group (183 of 367).

"Among men with localized prostate cancer detected during the early era of PSA testing," says the study, "radical prostatectomy did not significantly reduce all-cause or prostate-cancer mortality, as compared with observation, through at least 12 years of follow-up."

David Bernard

Also in the News...

APIC Survey Reveals Depth of PPE Shortages
COVID-19 Call to Action
Virtual OR Excellence Still Going Strong
Lessons Learned During the Pandemic
Handle Workplace Legal Issues Like a Pro
The Secret to Safer Surgery
Remember Why You Work in Surgery

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

Other Articles That May Interest You

A Better Way to Treat BPH

Men with enlarged prostates are seeking out surgeons who offer a minimally invasive solution to their symptoms.