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Robotic Prostatectomy
What is a Robotic Prostatectomy?
A robotic prostatectomy is a minimally invasive surgical procedure used to remove the prostate gland in patients with prostate cancer. It is performed using the da Vinci Surgical System, which allows the surgeon to operate with enhanced precision, dexterity, and control. The robotic-assisted technique provides a 3D magnified view of the surgical site and enables precise removal of cancerous tissue while preserving surrounding structures.
This procedure is considered an advanced approach to prostate cancer surgery, offering improved outcomes compared to traditional open or laparoscopic prostatectomy.
Why is a Robotic Prostatectomy Needed?
A robotic prostatectomy is primarily used to treat localised prostate cancer, meaning the cancer is confined to the prostate and has not spread to other organs. It is recommended for patients who:
- Have early-stage prostate cancer with a high likelihood of cure
- Are in good overall health and can tolerate surgery
- Prefer a minimally invasive option with reduced recovery time
- Need nerve-sparing surgery to preserve urinary and sexual function
How is a Robotic Prostatectomy Performed?
The procedure is performed under general anaesthesia and typically follows these steps:
- Small incisions are made in the lower abdomen to insert robotic instruments and a high-definition camera.
- Using the da Vinci Surgical System, the surgeon controls robotic arms that mimic hand movements with greater precision.
- The prostate gland is carefully separated from surrounding structures, including the bladder and urethra.
- Whenever possible, the surgeon aims to preserve neurovascular bundles responsible for erectile function and urinary control.
- The urethra is reattached to the bladder to restore normal urinary function.
- The small incisions are closed, and a catheter is placed to drain urine while the surgical site heals.
FAQ
How long does it take to recover from a robotic prostatectomy?
Most patients recover within four to six weeks, but light activities can resume earlier. Full urinary control and sexual function may take longer to return.
How effective is robotic prostatectomy for prostate cancer?
For localised prostate cancer, robotic prostatectomy has a high success rate, with long-term cancer control in most cases.
When can I return to normal activities after surgery?
Light activities can be resumed within a few days, and most patients can return to work within two to three weeks, depending on the nature of their job.
