All the key facts about robotic prostatectomy

Top Doctors recently spoke to extremely well-regarded consultant urologist, Mr Edward Calleja, who, here in this article below, provides all the key nuggets of information regarding robotic prostatectomy.

What is a robotic prostatectomy, and how does it differ from traditional surgery?

A robotic prostatectomy is a minimally invasive surgical procedure that uses a robotic surgical system to remove the prostate gland to treat prostate cancer. The surgeon operates the robotic arms from a console, which provides a 3D high-definition view of the surgical field. The system translates the surgeon's hand movements into precise movements of miniaturised instruments inside the patient.

Differences from traditional surgery include:

1. Precision: The robotic system allows for more precise movements, which can be particularly advantageous in the confined space of the pelvic area.
2. Incision size: Robotic prostatectomy typically requires smaller incisions than traditional open surgery, reducing the risk of infection and blood loss.
3. Visualisation: Enhanced 3D visualisation gives the surgeon a better view of the surgical site.
4. Dexterity: The robot's arms have a more fantastic range of motion than a human hand, providing more flexibility during the operation.
5. Recovery: Patients often experience quicker recovery times and less postoperative pain due to the procedure's minimally invasive nature.

What are the advantages of undergoing a robotic prostatectomy for prostate cancer?

The main advantages include reduced blood loss, a lower risk of infection, quicker recovery, less pain, and, potentially, better cancer control.

What is the recovery process like after a robotic prostatectomy?

Patients are usually monitored in the hospital for a short period, typically less than 48 hours. A urinary catheter is generally required for one to two weeks post-surgery.

Light activities can often be resumed within a week, but strenuous activities should be avoided for up to six weeks. Regular follow-ups are necessary to monitor for any signs of cancer recurrence or complications. Pain is generally managed through prescription medications and tends to decrease substantially within a week.

Are there any potential risks or complications associated with this procedure?

There are many associated potential risks with a robotic prostatectomy. These include:

• Infection
• Urinary incontinence
• Erectile dysfunction
• Bleeding
• Anastomosis issues
• Clots in the lungs (DVT)
• Pelvic pain

How does the success rate of robotic prostatectomy compare to other treatment options for prostate cancer?

The success rate of robotic prostatectomy is often compared to traditional open surgery and other treatments like radiation therapy.

1. Cancer control: Studies have shown that robotic prostatectomy has similar, if not better, oncological outcomes compared to traditional methods.
2. Quality of life: Many patients report higher scores in areas such as urinary and sexual function following robotic surgery.
3. Recurrence: While data is still being collected, early indications suggest that cancer recurrence risk is comparable to other treatment methods.

It's important to note that the "best" treatment option can vary greatly depending on individual circumstances such as cancer stage, patient age, and other health factors.

To schedule in a consultation today with Mr Edward Calleja, simply head on over to and visit his Top Doctors profile.