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For men diagnosed with prostate cancer, one of the most difficult decisions is choosing between surgery and radiation therapy. Both are effective treatments, but they differ in side effects, recovery, and long-term quality of life. In this video, I compare surgery vs radiation therapy for prostate cancer using data from major clinical trials and long-term outcome studies. We discuss: • Cancer control and survival outcomes • Urinary side effects and incontinence • Bowel side effects • Sexual function and erectile dysfunction • Short-term vs long-term quality of life • How risk group and age influence decision-making The goal of this video is to help patients understand the trade-offs between treatment options so they can make informed decisions in partnership with their physicians. This video is intended for educational purposes only and does not replace individualized medical advice. Every patient’s situation is different, and treatment decisions should be discussed with a qualified healthcare professional.