Among younger men who are diagnosed with prostate cancer, mortality rates are over 40% lower for those who are treated surgically compared with those who follow watchful waiting (relying on changes in symptoms to determine if/when further treatment is needed). The authors of this study add that patients must assess the risks with the operation, such as incontinence and impotence, with what they may gain from having the surgery based on age, other diseases, and desires.
New England Journal of Medicine, March 2014