Robotic Radical Prostatectomy
Robotic-assisted radical prostatectomy is the surgical removal of the prostate and seminal vesicles for localised prostate cancer, performed through small keyhole incisions. The aim is to remove the cancer completely while protecting urinary control and, where possible, erectile function.
Who Is It For?
Surgery is one of the main treatment options for prostate cancer that is confined to the prostate or nearby tissues. Other options may include active surveillance and radiation therapy. The best choice depends on the grade and stage of the cancer, your age, general health and personal priorities, and is discussed in detail at your consultation.
The Operation
Performed under general anaesthetic and usually takes around two to three hours
The prostate and seminal vesicles are removed through several small incisions in the abdomen
Where appropriate, the nerves responsible for erections are carefully preserved (nerve-sparing)
Pelvic lymph nodes may also be removed, depending on the risk of spread
The bladder is reconnected to the urethra over a urinary catheter
Recovery
Most people stay in hospital for one to two nights
A urinary catheter remains for around one week while the join heals
Walking is encouraged from the day after surgery
Avoid heavy lifting and strenuous exercise for about six weeks
Many people return to desk-based work within two to four weeks
Continence and Erectile Function
Some urinary leakage is expected after the catheter is removed and usually improves over the following weeks to months. Pelvic floor exercises, ideally started before surgery with a pelvic floor physiotherapist, help this recovery. Changes in erectile function are common after surgery; recovery can take up to two years and may be supported with medication and other treatments. Ejaculation no longer occurs after the prostate is removed.
Risks
As with any operation, risks include bleeding, infection, blood clots and injury to nearby structures, as well as longer-term urinary leakage and erectile dysfunction. These will be discussed with you in detail.
Follow-Up
Your PSA level is checked regularly after surgery. It should become very low or undetectable. Pathology results are reviewed at your post-operative appointment to guide whether any further treatment is needed.
Dr Samuel Davies, Consultant Urologist and Robotic Surgeon, trained in robotic surgery at Guy's and St Thomas' Hospital in London and performs robotic-assisted radical prostatectomy in Brisbane. To arrange an appointment, please contact our rooms on 07 3255 0311. A referral from your GP or specialist is needed to claim a Medicare rebate.
This page provides general information only and is not a substitute for an individual consultation. All surgical and medical procedures carry risks. Before proceeding, you should seek advice from an appropriately qualified health practitioner and, if you wish, a second opinion.