How effective is radical prostatectomy?

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men. The benefits appear to accrue to younger men