Radical perineal prostatectomy is a surgical procedure wherein the prostate gland is removed through an incision in the area between the anus and the scrotum (perineum). It is typically performed to remove early prostate cancer. Radical perineal prostatectomy is less commonly used than another surgery such as the open radical retropubic prostatectomy or the robot assisted laparoscopic radical retropubic prostatectomy. Lymph nodes can be sampled through the same incision, although this procedure is not common place in the U.S. at this time. When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the retropubic approach but less blood is lost and recovery is faster. One downside to the perineal approach is an increased risk of fecal incontinence.