Robotic prostatectomy is the newest generation of prostatectomy surgery, in which a robotic device is used in prostate removal instead of a laparoscope. Robotic-assisted prostatectomy attracts the attention of specialists all around the globe due to supposedly more precise cuts and a smaller probability of post-operative complications.
Similarly to the open prostatectomy, laparoscopic prostatectomy or transurethral prostatectomy, it is possible to perform a variety of prostatectomy surgeries using robotic prostatectomy:
• Simple prostatectomy – the inner part of prostate gland is removed
• Partial prostatectomy – this type of prostatectomy is used for benign prostate tumours. During it, only part of prostate is removed
• Radical prostatectomy – doctors attempt to remove the whole prostate and surrounding tissues.
Despite years of development, robotic-assisted prostatectomy surgery remains a relative novelty for many doctors. That’s why it important to choose an experienced specialist for your robotic prostatectomy. Many patients choose to find appropriate doctors abroad thanks to developed health tourism.
Robotic Prostatectomy Candidates
There is a range of medical problems that can be dealt with by robotic prostatectomy surgery. These involve enlarged prostate and issues with the urinary system such as frequent urinary infections. However, the most serious condition is prostate cancer.
Prostate cancer signs are, among others:
• Blood in urine and semen
• Frequent urge to urinate
• Pelvic pain and pain around hips and legs
Patients with symptoms of prostate cancer are urged to contact their doctor in order to get a proper diagnosis through PSA and biopsy.
Am I Suitable for Robotic Prostatectomy?
Not all patients with prostate problems will undergo robotic prostatectomy. First of all, some of the less severe prostate issues may be solved by other, non-invasive methods. Regarding prostate cancer, some patients may discover this deadly disease too late and will be directed to palliative treatment rather than prostatectomy procedure. Finally, not every hospital has specialists and devices allowing for robotic prostatectomy and may decide for more conservative open prostatectomy or laparoscopic prostatectomy.
Preparing for Robotic Prostatectomy
It is crucial to inform your medical team about your medical issues. Additionally, you will be asked to provide a list of medicines you take and cross out aspirin and other blood-thinning substances. For 48 hours before your robotic prostatectomy, you cannot use alcohol. Finally, you will be asked to fast for several hours before prostatectomy surgery as well as to undergo a mechanical bowel preparation.
How is Robotic Prostatectomy Performed?
As in laparoscopic prostatectomy procedure, robotic prostatectomy is performed through a few (usually 5) small incisions in the lower abdomen. The doctor operates using a computer and does not touch the operation site, making it less infection-prone. If the whole of your prostate is removed, doctor attaches bladder to urethra as the final step of robotic-assisted prostatectomy.
Robotic Prostatectomy Summary
Duration of Operation
Number of Trips Abroad
Back to Sports
Back to Work
Robotic Prostatectomy Recovery
One of the major advantages of robotic prostatectomy over open prostatectomy surgery is a shorter recovery time. Many patients in the best clinics are able to leave the hospital after a few hours of rest, while others will spend a day in hospital bed – still much less than in other types of prostatectomy. Coming back to daily activities should be gradual. For the first few days, you will have a urethral catheter, which will be removed then. It is crucial to not engage in too strenuous activities in order to not cause any complications. The return to sexual activities should be also cautious and gradual; especially that achieving an erection may be difficult in the first weeks after robotic prostatectomy.
Robotic Prostatectomy Risks and Complications
There are some risks and complications of robotic prostatectomy surgery, such as:
• Formation of blood clots
• Damage to surrounding organs
However, robotic prostatectomy surgery deems them much less plausible thanks to very precise cuts and limited bleeding.
Robotic Prostatectomy Side Effects
There are no imminent side effects of robotic prostatectomy treatment. However, in some patients, erectile dysfunctions may cause a serious discomfort. In the case of such a result, it is advised to contact your doctor and inform about this issue in order to find a solution.
Robotic Prostatectomy Success Rates
Using prostatectomy as a prostate cancer treatment results in the 10-year survival rate of at least 80% depending on the source.
As for retaining sexual functions, robotic prostatectomy has similar achievements, with approx. 80% of patients able to enjoy their sexual life.