Robotic prostatectomy is the surgical removal of the prostate with the da Vinci Robotic Surgical System to treat localised prostate cancer. The robot allows this complex surgery to be performed through a few small incisions and provides many benefits to the patient over traditional open surgery.
What does robotic prostatectomy involve?
This operation is performed under general anaesthetic. The robotic 3 dimensional camera and robotic arms are inserted through a series of small (8mm) incisions in the abdomen. The surgeon controls the arms via a remote console in the operating theatre. The prostate is dissected free from the bladder and surrounding structures. The bladder is then joined to the urethra over a catheter tube. This catheter will remain in place for seven days while the join heals.
Can my erection nerves be spared?
In most cases, the erection nerves that surround the prostate can be spared. The da Vinci Robotic Surgical System provides excellent 3D vision and enhanced dexterity to help with this task. In some cases where the cancer is growing very close to the erection nerves, you may be better off having a wider excision including the nerves and surrounding tissue to ensure the cancer is removed completely. A multiparametric prostate MRI scanbefore your operation will help decide if nerve sparing is appropriate.
What are the benefits of robotic prostatectomy?
Robotic prostatectomy provides many benefits over traditional open surgery:
- Small keyhole incisions
- Less pain
- Less scarring
- Less blood loss
- Lower complication rate
- Shorter hospital stay
- Quicker return of continence
- Quicker recovery and return to normal activity
How long will I be in hospital after the operation?
Most men stay in hospital for two days, however many go home the day after the operation. Occasionally a complication will result in a longer hospital stay.