At what age will they not remove a prostate?

Prostate Surgery and Age: What You Need to Know

When it comes to treating prostate cancer, age plays a crucial role in determining the best course of action. Radical prostatectomy, a surgery that removes the entire prostate gland, is often recommended for younger men with localized cancer. This is because they’re more likely to benefit from the procedure long-term, with a lower risk of complications and a higher chance of recovery.

However, for men over 70, the decision becomes more complex. Doctors typically avoid radical prostatectomy in older patients due to increased surgical risks and the potential impact on quality of life. As we age, recovery takes longer, and the chances of experiencing side effects—like incontinence or erectile dysfunction—rise significantly. For many older men, these trade-offs may outweigh the potential benefits.

That doesn’t mean treatment stops at a certain age. Instead, doctors often consider alternatives such as active surveillance, radiation, or hormone therapy—especially if the cancer is slow-growing. Each case is unique, and decisions should be based on overall health, life expectancy, and personal preferences, not just age alone.

The key is open dialogue with your healthcare team. While radical prostatectomy is less common after 70, it’s not strictly ruled out. Some healthy older men may still be candidates if the cancer is aggressive and likely to spread. The goal is always to balance effective treatment with maintaining a good quality of life.