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Robotic prostate cancer surgery

Expert Robotic Surgery for Prostate Cancer in London

A specialist robotic prostate surgeon in London

Robotic surgery is one of the most precise ways to treat prostate cancer that has not spread. Working through small keyhole incisions, the surgeon removes the prostate while taking care to protect the nerves and muscles that control the bladder and sexual function. Professor Prokar Dasgupta was the first consultant in the UK to establish robotic prostate surgery, and he plans each operation around the individual patient, with two aims: removing the cancer and protecting quality of life.

Professor Prokar Dasgupta in theatre beside the arms of a surgical robot
Professor Prokar Dasgupta OBEProfessor of Urology and Robotic Surgery
  • 2–4 hoursTypical length of the operation
  • 1–2 daysShort hospital stay
  • 1–2 weeksTemporary catheter
  • Several weeksFull recovery

The procedure

What is robotic surgery for prostate cancer?

Robotic prostate cancer surgery, known medically as robot-assisted radical prostatectomy, is a keyhole operation to remove the prostate gland when it contains cancer.

The surgeon sits at a console beside the patient and guides the robotic instruments, with:

  • A magnified, high-definition 3D view
  • Fine, steady control of every instrument
  • Greater accuracy in small, delicate spaces

This makes it easier to work closely around the nerves and tissues next to the prostate than in a traditional open operation.

Professor Dasgupta seated at the robotic surgical console, controlling the instruments

Experience

Why does the surgeon’s experience matter?

The robot does not operate on its own. Every movement is made by the surgeon, so results depend on their skill and experience. Patients treated by a highly experienced robotic surgeon can expect:

  1. Better results in removing the cancer
  2. A better chance of staying continent
  3. A better chance of keeping erections
  4. Fewer complications
  5. A quicker recovery

The technology helps, but it is the surgeon’s experience that makes the difference.

Book your consultation today

We treat all of our enquiries with compassionate and confidential care.

Your surgeon

Meet your surgeon

Robotic prostate surgery at The London Clinic is carried out by Professor Prokar Dasgupta, an internationally recognised expert in the field.

Patients benefit from his:

  • Thousands of operations performed
  • Leading role in developing robotic urology
  • Research that has helped shape surgical techniques worldwide
  • Focus on quality of life as well as cancer outcomes

That experience is there at every stage, from planning the operation to follow-up.

Portrait of Professor Prokar Dasgupta OBE, Consultant Urologist

Technique

Advanced nerve-sparing techniques

The nerves that control erections and help with bladder control lie very close to the prostate. Protecting them is one of the main aims of the operation.

Where it is safe to do so, nerve-sparing surgery aims to:

  • Leave these delicate nerves in place
  • Lower the risk of long-term side effects
  • Help normal function return sooner

Newer methods, such as saline-assisted techniques, give the surgeon a clearer view, which can improve results for suitable patients.

Read our blog on How Nerve-Sparing Techniques Improve Outcomes in Prostate Surgery

Robotic or open

How does robotic surgery compare with open surgery?

Compared with an open operation through one larger cut, patients usually have:

Radical robotic prostatectomy: a patient guide
  1. A few small scars instead of one large one
  2. Less bleeding during the operation
  3. Less pain afterwards
  4. A shorter time in hospital, usually 1 to 2 days
  5. A quicker return to everyday life
  6. More precise removal of the cancer

Is robotic prostate surgery right for me?

Surgery is usually offered to men whose cancer has not spread beyond the prostate. It may be the right choice if:

  • The cancer is localised, or locally advanced
  • You are well enough for an operation
  • You want a treatment that aims to cure the cancer

Your scans, PSA results and biopsy findings are reviewed together at your consultation, so the advice you receive fits your situation.

Read our blog on Am I a Candidate for Robotic Prostate Surgery?

What results can I expect?

In experienced hands, the results of robotic prostate surgery are very good, with:

  • A high rate of cancer control
  • A good chance of regaining bladder control
  • A better chance of keeping erections, where the nerves can be spared

Every patient is different, and your own likely results are discussed with you openly. The aim is always to treat the cancer while protecting your quality of life.

Read our blog on Success Rates of Robotic Prostate Cancer Surgery: What the Data Shows

Book your consultation today

We treat all of our enquiries with compassionate and confidential care.

Step by step

Your treatment, step by step

You will know what to expect at each stage, with clear guidance and follow-up from the team.

  1. Before your operation

    • A consultation to review your tests and diagnosis
    • A treatment plan made for you
    • Preparation and advice before surgery
  2. On the day

    • A general anaesthetic, so you are asleep throughout
    • Keyhole surgery using the robot
    • Usually 2 to 4 hours in theatre
  3. Afterwards

    • Usually 1 to 2 days in hospital
    • A catheter for one to two weeks
    • Most everyday activities back within a few weeks
    • Full recovery over several weeks
Read our blog on Recovery After Robotic Prostate Surgery: Timeline, Tips and What to Expect

What are the risks of robotic prostate surgery?

Every operation carries some risk. After prostate surgery, the main ones are:

  • Urine leakage (incontinence)
  • Difficulty with erections
  • Infection or bleeding
  • Rarer complications of surgery

Having an experienced robotic surgeon makes these risks considerably less likely.

Read our blog on Will I Regain Erectile Function After Prostate Cancer Surgery?

Why patients choose Professor Dasgupta

  • An international reputation in robotic urology
  • Specialist nerve-sparing techniques
  • Care planned around each patient
  • Equal focus on curing the cancer and protecting quality of life
  • The latest robotic technology at The London Clinic
Read our blog on 10 Questions to Ask Before Choosing a Prostate Cancer Surgeon How to choose a leading prostate cancer surgeon

Read more about his roles and background.

Questions

Robotic prostate surgery: frequently asked questions

Short answers to the questions patients ask most often. Your own plan is discussed in detail at your consultation.

What is robotic surgery for prostate cancer?

It is a keyhole operation, known medically as robot-assisted radical prostatectomy, to remove the prostate gland when it contains cancer. The surgeon guides the robotic instruments from a console, with a magnified 3D view and fine, steady control.

How long does robotic prostate surgery take?

The operation is done under a general anaesthetic and usually takes 2 to 4 hours.

How long will I stay in hospital?

Most patients stay in hospital for 1 to 2 days and go home with a catheter for one to two weeks. Most everyday activities are back within a few weeks, with full recovery over several weeks.

Who is suitable for robotic prostate surgery?

Surgery is usually offered to men whose cancer has not spread beyond the prostate, who are well enough for an operation and want a treatment that aims to cure the cancer. Scans, PSA results and biopsy findings are reviewed together before any recommendation is made.

Will I regain continence and erectile function?

In experienced hands there is a good chance of regaining bladder control, and a better chance of keeping erections where the nerves can be spared. Results vary from person to person and are discussed openly at your consultation.

Why does the surgeon’s experience matter?

The robot does not operate on its own: every movement is made by the surgeon. A highly experienced robotic surgeon is linked to better cancer removal, continence and erections, fewer complications and a quicker recovery.

Where does Professor Dasgupta see patients?

Professor Dasgupta sees private patients at The London Clinic, 145 Harley Street, London W1G 6BJ. Call +44 20 3996 1833 or send an enquiry through the contact page to book a consultation.

Book a consultation

Book your consultation today

We treat all of our enquiries with compassionate and confidential care.