Patient has been followed by his primary care physician for elevated PSA . Patient underwet prostate needle biopsy in the physician office 2 weeks ago and final pathology was positive 10 carcinoma. Patient is admitted for prostatectomy. Frozen section of the prostate and one lymp node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectom became a radical perineal with bilateral pelvic lymphadenectomy.