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Is surgery a safe option to treat my prostate cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My biopsy came back positive for prostate cancer. I am still in shock. The doctor says it is an early stage, but I do not know whether to choose surgery, radiation, or just wait and watch.

  1. What is the safest option?

  2. How will this affect my sexual function after treatment?

Please suggest.

Thank you.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

I want to clarify one important point first. Prostate cancer occurs in people who have a prostate, which means it typically affects men and individuals assigned male at birth. If there is any confusion with your records, it would be good to confirm the report with your doctor. That said, being told you have prostate cancer at a young age can feel overwhelming, and it is understandable to feel uncertain about what to do next.

Since your doctor mentioned that it is the early stage, you likely have several treatment options, each with different risks and benefits. Active surveillance, or “watchful waiting,” may be appropriate if the cancer is very low risk. This means regular PSA (prostate-specific antigen) tests, exams, and sometimes repeated biopsies are needed to monitor growth without immediate treatment, which helps avoid side effects.

Surgery (radical prostatectomy) removes the prostate and can be curative, but it carries risks such as urinary incontinence and erectile dysfunction, depending on whether nerve-sparing techniques are possible. Radiation therapy (external beam or brachytherapy) is also effective and avoids surgery, but it too can affect sexual function and sometimes cause urinary or bowel problems over time.

Sexual function after treatment varies; many men experience temporary or permanent erectile difficulties, but recovery can depend on age, baseline function, and whether nerves are preserved; medications and devices can help manage these issues if they occur. The “safest” option depends on the exact stage, grade (Gleason score), PSA level, and your values regarding side effects and quality of life.

I hope this answers your query.

Let me know if I need to assist you further.

Thank you.

Answered byDr. Ashraf Ghani

Medically reviewed byDr. K. Shobana

Published At October 25, 2025
Reviewed AtOctober 28, 2025

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