Previous studies highlighted the characteristics of the metastatic focus of prostate cancer (PCa) in pelvic lymph nodes (LN) as variables that could affect the outcome of radical prostatectomy. In addition, in recent years, the adoption of the surgical extended pelvic LN dissection has resulted in an increase in the rate of detection of LN metastasis. The goal of our study was to determine the prognostic value of the number of positive LN, extranodal extension (ENE), and the size and Gleason Grade (GG) of metastatic foci in prostate cancer.