Dr. David B. Samadi, Chief of Division of Robotics and Minimal Invasive Surgery for Mount Sinai School of Medicine, discusses the advantages of prostate removal versus other options such as radiation. Advantages include being the only option that removes the entire prostate. The other options keep the prostate intact. With prostate removal, a doctor can see exactly how much cancer there is, because of accurate staging, volume, grade of the tumor and margins. There is easier follow-up because PSAs are very sensitive post-op. There is no risk of secondary malignancy. Radiation is still an option after surgery but surgery after radiation remains a morbid case. This is also subject to personality preference where a patient may prefer to remove the prostate altogether.