Radical extra-aponeurotic prostatectomy is the surgical procedure which guarantees the best chances of total cancer ablation when the lesion is localized. Our incidence of positive specimen margins is low (4.6%). In our experience total incontinence occurs in 3 patients (3.5%). A low rate of post-operative complications makes this operation relatively safe and well accepted by patients. From our data "Nerve Sparing" prostatectomy must be reserved to selected cases in well motivated patients, because with this procedure the risk of oncological failure remains high.