Choosing the right treatment for prostate cancer can feel daunting. With several options available, it’s natural to wonder which approach offers the best balance of cancer control, recovery, and long-term quality of life. One increasingly popular option is robotic prostatectomy—a minimally invasive procedure using advanced robotic technology to remove the prostate with exceptional precision.
But is it the right choice for you?
This guide will help you understand who benefits most from robotic surgery, what makes it different, and what factors to consider before making a decision.
What Is a Robotic Prostatectomy?
A robotic prostatectomy—sometimes called a robot-assisted radical prostatectomy—is an operation using the da Vinci® surgical system. Despite its name, the procedure is not performed by a robot. Instead, an experienced surgeon controls robotic instruments at a console, allowing for:
- High-definition 3D vision
- Tremor-free movements
- Millimetre-level precision
This enhanced control is particularly valuable when operating near nerves responsible for urinary continence and sexual function.
Who Is a Good Candidate?
Robotic prostatectomy is typically recommended for men with:
1. Localised Prostate Cancer
The surgery is most effective when cancer is confined to the prostate and has not spread to distant areas.
2. Good General Health
Most patients need to be well enough for a procedure under general anaesthetic.
3. A Desire for Minimally Invasive Treatment
Robotic surgery is known for smaller incisions, quicker recovery, and less postoperative discomfort than traditional open surgery.
4. Suitable Anatomy
Patients with previous abdominal surgeries or certain medical conditions may require a more personalised assessment to determine suitability.
Your consultant will review your scans, PSA levels, biopsy results, and general health to decide whether robotic surgery is appropriate.
What Are the Potential Benefits?
Robotic prostatectomy offers several advantages over traditional open surgery:
✔ Greater Precision
Robotic instruments allow the surgeon to work with enhanced accuracy around nerves and blood vessels.
✔ Smaller Incisions
This means reduced scarring and quicker healing.
✔ Less Blood Loss
Most patients require no blood transfusion.
✔ Faster Recovery
Many men return to normal activities within a few weeks.
✔ Improved Functional Outcomes
The refined technique may support quicker return of urinary continence and erectile function—though outcomes vary between individuals.
What Are the Limitations?
While robotic prostatectomy has clear benefits, it may not be suitable for everyone.
• Not Always Necessary
Some patients with low-risk prostate cancer may not need surgery at all. Active surveillance can be a safe and effective alternative.
• Depends on Surgeon Expertise
The technology is only as good as the surgeon operating it. Choosing an experienced robotic surgeon is essential for achieving the best outcomes.
• Considerations for Advanced Disease
If cancer has spread beyond the prostate, additional treatments such as radiotherapy or hormone therapy may be more appropriate.
Key Questions to Ask Your Surgeon
When deciding whether robotic prostatectomy is right for you, consider asking:
- What are all my treatment options?
- What outcomes can I expect from robotic surgery in my case?
- How experienced are you with this procedure?
- What is the expected recovery time?
- What are the risks and side-effects?
A personalised discussion helps ensure you make an informed, confident decision.
The Bottom Line
Robotic prostatectomy is a highly effective, minimally invasive option for many men with localised prostate cancer. With improved visualisation, enhanced precision, and quicker recovery, it offers significant benefits—but it’s not the best choice for every patient.
The most important step is to speak with a specialist who can review your individual case and guide you toward the treatment that best supports your long-term health and wellbeing.
If you have questions, we would be happy to help you answer them, please get in touch.