Cancer of the prostate: what treatment for what stage?]

The treatment of locally advanced prostatic cancer is the most controversial subject in urological oncology. Localized disease is best treated by radical prostatectomy or radiotherapy. Metastatic cancer is treated by surgical or medical castration. Second line therapeutics will be overviewed. Each treatment decision is based upon the pathological stage and differentiation of the tumour, the life expectancy and comorbidity of the patient.