[Surgical aspects and innovations in localized prostate cancer]

In 1983, Walsh introduced anatomical radical retropubic prostatectomy. With the surgical modifications that preserve neurovascular bundles, excellent cancer control can be achieved, while preserving erectile function and urinary continence in most appropriately selected patients. Since them, radical prostatectomy has become the most common treatment for clinically localized prostate cancer. Treatment results following radical prostatectomy will most likely continue to improve in the future as early detection is more widely practiced.