On call: Penile shortening post-prostatectomy

Q. I am trying to decide between a radical prostatectomy and radioactive seed therapy for my newly diagnosed prostate cancer. All the doctors I've consulted say I have very early disease (PSA 4.9, Gleason score 6) and that I should be cured either way. I'm basing my decision on side effects, but I need more information on one thing I learned about on the Internet, penile shortening.

A. I won't try to advise you about your choice of treatment, since there is no clear answer as to which is best. In addition to the options you're considering, many men would also consider external beam radiation therapy, and older men might consider deferred treatment or active surveillance.

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