[The treatment of prostatic cancer: present and future, realities and possibilities]

The routine determination of PSA has generated an important consequence: a really favourable migration of the tumour stage at the moment of diagnosis. It implies an exponential increase in the requirement of primary treatments with curative intention. Radical prostatectomy with preservation of neuro-vascular bundles is the gold standard for the treatment of localized prostate cancer but laparoscopic and robotic surgery have arrived with force during last five years. These therapeutic approaches and the new emerging techniques (those interventions that are not routine practice in the prostate cancer) guided by images present a constant research activity. Here, we perform a review of every possibility to treat the cancer of prostate.