Frequently-asked questions about robotic-assisted laparoscopic prostatectomy

Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive surgical procedure used to remove the prostate gland in cases of prostate cancer. This approach offers greater precision, reduced recovery time and fewer complications compared to traditional open surgery. Below are some common questions patients have about the procedure.

What is robotic-assisted laparoscopic prostatectomy?

RALP is a minimally invasive prostate cancer surgery performed using a robotic surgical system, such as the da Vinci® system. The surgeon operates robotic arms through small incisions in the abdomen, using a high-definition, magnified 3D camera to guide the procedure with greater precision.

What are the benefits of robotic-assisted prostatectomy?

Compared to open prostatectomy, RALP offers several advantages, including:

• Smaller incisions, resulting in less post-operative pain
• Reduced blood loss, lowering the need for transfusions
• A shorter hospital stay, often just one to two days
• Faster recovery, allowing patients to return to normal activities sooner
• Lower risk of complications, such as infections and incontinence
• Improved nerve preservation, which can help maintain urinary and sexual function

How long does the procedure take?

The surgery typically lasts between two to four hours, depending on factors such as prostate size and the complexity of the procedure.

What is the recovery process like?

• Most patients go home within 24 to 48 hours after surgery.
• Catheter use is required for about one to two weeks to allow healing.
• Light activities can usually be resumed within a few weeks, but strenuous exercise should be avoided for at least four to six weeks.
• Urinary continence and erectile function may take time to recover, with improvements seen over several months.

Will I experience urinary incontinence?

Urinary leakage is common in the early recovery phase but usually improves over time. Pelvic floor exercises (Kegel exercises) can help strengthen the muscles and speed up recovery.

Will I be able to have an erection after surgery?

Erectile function depends on factors such as age, pre-surgery function, and whether nerve-sparing techniques were used. Many patients regain function within months to a year, sometimes with the help of medications or other treatments.

Are there any risks associated with robotic prostatectomy?

Like any surgery, RALP carries some risks, including:

• Bleeding (though much lower than open surgery)
• Infection
• Temporary urinary incontinence
• Erectile dysfunction
• Scar tissue formation affecting urination

Who is a suitable candidate for robotic prostatectomy?

Patients with localised prostate cancer (cancer that hasn’t spread beyond the prostate) are typically good candidates for RALP. A consultation with a specialist can determine the best treatment option based on individual circumstances.

Robotic-assisted laparoscopic prostatectomy is a safe and effective treatment for prostate cancer, offering minimally invasive benefits, faster recovery and improved surgical precision. While some side effects, such as urinary incontinence and erectile dysfunction, may occur, many patients experience good functional recovery with time and rehabilitation.