carlton....interesting point you make.
I agree with slaney and Lazygun..
Many types of prostate cancers are so slow growing,that even without treatment, they may never kill you and to undergo removal of your prostate gland for a condition that is unlikely to kill you seems a bit harsh.
I would have second thoughts about submitting myself to radical prostatectomy.
For the"clear cut " malignancies" the options are presented to the patient depending upon many factors, e.g type of tumour, local spread, distant spread and age of patient. For more in depth explanation Google....Prostate Cancer Staging.
If I was in your position carlton, I to would enquire about Zytiga which was available in Libya, but only now available in the UK.