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When patients with prostate cancer are presented with management options — including surgery (laparoscopic, robotic, or open) or radiotherapy (external beam, brachytherapy, or a combination of the two) — the next question is what is the best treatment. Unfortunately, rigorous prospective trials comparing these approaches have not been performed and likely never will be. However, for many patients with favorable risk factors, recent studies suggest excellent clinical outcomes for all current therapeutic approaches, leaving clinicians and patients to focus on differences in treatment morbidities.
To help provide guidance in this setting, investigators have analyzed survey data from 1655 men in the Prostate Cancer Outcomes Study with clinically…