HospitalProstate Surgery (Prostatectomy)
Also known as: Da Vinci Prostatectomy, Minimally Invasive Prostatectomy,, Keyhole Prostate Surgery,, Robot-Assisted Prostate Cancer Surgery, Laparoscopic Prostatectomy,
Recovery
Catheter removal at 1–2 weeks; return to desk work 2–4 weeks; return to physical exercise 4–6 weeks; urinary continence (pad-free) 3–12 months
About Prostate Surgery (Prostatectomy)
Treated areas:Pelvic, Pelvis
Prostatectomy is surgery to remove part or all of the prostate gland. It treats localized prostate cancer or severe urinary problems from an enlarged prostate (BPH). The type of procedure chosen depends on your diagnosis, symptoms, prostate size, and health.
Why It Is Done
Treat Prostate Cancer
Radical prostatectomy removes the whole prostate, seminal vesicles, and sometimes nearby lymph nodes to remove cancer and stop it from spreading.
Treat Enlarged Prostate (BPH)
Removes or trims blocking tissue to fix urine flow and bladder issues. It treats:
- Weak urine stream
- Frequent need to urinate
- Trouble starting to urinate
- Feeling the bladder isn’t empty
- Waking up often to urinate at night
Ideal Candidate
- Men with early or locally confined prostate cancer, expected to live 10 years or longer
- Men with PSA ≤ 20 ng/mL and a medium–low risk cancer grade, who pick surgery instead of monitoring or radiation
- Men who want fast recovery and to keep nerve function (for erections/bladder control)
Proven Results
- Cancer tissue fully removed
- PSA levels drop to very low or undetectable
- Good long-term survival and control
- Stronger urine flow, less urgency, fuller emptying, fewer night trips
- Better sleep, comfort, and daily life
How It Is Performed
- Multi-parametric MRI and biopsy review
- General anaesthesia and Trendelenburg positioning
- 5–6 laparoscopic port placement
- Da Vinci Xi system docked at surgeon console with 3D vision
- Careful bladder and seminal vesicle dissection with nerve-sparing where oncologically safe
- Complete prostate and seminal vesicle excision
- Pelvic lymphadenectomy if indicated
- Precise vesicourethral anastomosis
- Catheter and drain placement
- Port closure
Hospitals Offering This
HospitalDoctors Performing This
Your Timeline
Preparation
- Multi-parametric MRI prostate within 3 months of surgery
- Prostate biopsy report with Gleason grade; bowel preparation day before
- Fasting 6–8 hours pre-operatively
- Smoking cessation at least 4 weeks
- Pre-operative Kegel exercises beginning 4–6 weeks before surgery
Followup Care
- Urinary catheter removed at 1–2 weeks
- First PSA at 6 weeks (target undetectable <0.1 ng/mL)
- PSA monitoring every 3 months year 1, every 6 months years 2–3, then annually
- Pelvic floor rehabilitation with supervised physiotherapy
- Sexual rehabilitation programme (PDE5 inhibitors, vacuum erection device) if nerve-sparing performed
Frequently Asked Questions
Is robotic prostatectomy better than open surgery?
Robotic prostatectomy provides equivalent or superior oncological outcomes with significantly less blood loss, less pain, shorter hospital stay (2–4 days vs 5–7 days), and faster return to normal activities.
Will I be incontinent after the operation?
Virtually all men experience some leakage immediately after catheter removal; the vast majority recover full continence within 3–12 months; pre-operative Kegel exercises significantly accelerate recovery.
What is nerve-sparing?
Preservation of neurovascular bundles alongside the prostate that control erectile function; whether nerve-sparing is safe depends on cancer location as assessed by MRI and biopsy results.
Will I need additional treatment after surgery?
If pathology shows clear margins, confined disease, and no lymph node involvement, PSA surveillance alone is appropriate; adverse pathology may prompt adjuvant or salvage radiotherapy.
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