Doctors know a lot about performing prostate surgeries. However, we are always trying to learn more and improve our skills for our patients' benefit. We want to try and make prostate surgeries safer, with fewer side effects for the patient, and look for a better way to remove cancer. In this study, we will monitor if there are problems after a participant's surgery. We will also document the results of the surgery and patient-reported quality of life.

We are asking individuals who join the study if they would be interested in hearing about a different, although comparable, type of prostate surgery. Those who agree to participate may hear about this approach and decide whether they are interested. None of the changes we are considering have significant risks or involve large changes to the prostate surgery.

Traditional radical prostatectomy is the most popular treatment for clinically significant prostate cancer, however significant risks including urinary incontinence, erectile dysfunction, penile shortening, penile curvature/ deformation (Peyronie's disease), and inguinal hernia, are common.

Pelvic fascia-sparing radical prostatectomy is a new surgical technique that may preserve fascial support structures, arterial supply to the penis, and nerves that are severed and resected during conventional radical prostatectomy.

This study will enroll adult men undergoing radical prostatectomy for clinically localized prostate cancer. Participants will be randomized to receive either radical prostatectomy or pelvic fascia-sparing radical prostatectomy (PFS-RP).

Participation entails of 5 brief surveys (baseline, 1 month, 6 months, 12 months, 24 months) assessing their urinary, sexual, and lifestyle functions as they relate to recovery. The final survey is at 24 months which ends participation in the study.