Should a 75 year old man have his prostate removed?

Prostate Surgery at 75: Is It Still an Option?

For many men, the idea of undergoing major surgery in their mid-seventies may seem daunting—especially when it comes to prostate removal, or radical prostatectomy (RP). But age alone shouldn’t be the deciding factor. In fact, recent medical insights suggest that a 75-year-old man in good health may still be a viable candidate for the procedure.

People today are living longer and healthier lives. A 75-year-old man in the U.S. has a life expectancy of over 10 more years, on average. That means untreated prostate cancer could progress and significantly impact both quality and length of life. When cancer is aggressive or likely to spread, surgery may offer meaningful benefits.

The key lies not in the number, but in the patient’s overall health. Biological age—how well a person functions physically and mentally—matters far more than chronological age. A thorough health screening is essential before considering surgery. Doctors assess heart function, mobility, cognitive status, and other conditions like diabetes or hypertension to determine risk.

Studies show that carefully selected men aged 75 and older can achieve reasonable oncologic outcomes—meaning the cancer is controlled—and maintain acceptable quality of life post-surgery. Complications are higher in this group, but not prohibitive when patients are otherwise fit.

Ultimately, the decision should be personalized. It’s not about hitting an age cutoff, but about understanding individual risk, life expectancy, and goals. Open conversations with urologists, oncologists, and primary care providers help clarify whether surgery is the right path—or whether active surveillance or less invasive treatments might be better suited.

For the right candidate, prostate removal at 75 isn’t just possible—it can be a sound medical choice.