WHAT TO DO IF YOU HAVE PROSTATE CANCER: CONSIDERING SURGERY: RADICAL PERINEAL SURGERY
The other surgical option for removing the prostate gland is called the radical perineal approach. You may recall that this procedure was also used for the relief of BPH. The incision is made through the perineum, which is between the scrotum and anus.
Many doctors prefer this method, as they feel that it is less stressful to the patient and that it is easier to perform unless the patient is obese (which makes it difficult because of the large abdominal wall).
A major drawback is that it is difficult to use the nerve-sparing technique (see below) with the perineal approach. Another disadvantage is that it is not possible to examine or remove any of the lymph nodes to which the prostate cancer may have spread. This makes it impossible to know whether to proceed with a radical prostatectomy.
This approach is favored by some urologists because the postoperative effects are much easier on the patient: an abdominal incision is considerably more uncomfortable than a perineal incision.
Men's Health Erectile Dysfunction