Robotic prostatectomy is now the most common way to remove the prostate for cancer in the UK, yet many misunderstandings remain. Some come from science fiction, others from older experiences of open surgery. This guide gives short, clear answers to the most common myths.
Myth: the robot performs the operation
Fact: the robot does not move by itself. The surgeon controls every movement from a console beside the patient. The robot translates the surgeon's hand movements into precise movements of small instruments inside the body. Our guide to how the surgical robot works explains this.
Myth: robotic surgery is experimental
Fact: robotic prostatectomy has been performed for more than two decades and is now standard practice across the UK. The Royal College of Surgeons sets training standards for surgeons who use it.
Myth: robotic surgery is less effective at removing cancer
Fact: for suitable men, studies show that cancer control after robotic prostatectomy is similar to that after open surgery. The aim of the operation is the same: to remove the whole prostate and the cancer within it.
Myth: every man is left incontinent
Fact: leakage is common at first, but most men see steady improvement over the following months. The majority regain good bladder control. Pelvic floor exercises help. Our step-by-step pelvic floor guide explains how to do them.
Myth: erections never return
Fact: erections are commonly affected after surgery, but many men see improvement over time, especially when the nerves can be spared and erections were good beforehand. Treatments are available to support recovery, including tablets, injections and vacuum devices, and starting them early can help.
Myth: recovery takes months in hospital
Fact: most men go home after one or two nights. A catheter is usually needed for one to two weeks. Many men return to desk-based work within a few weeks.
Myth: robotic surgery is only for young men
Fact: there is no strict age limit. Fitness and life expectancy matter more than age alone. Our article on robotic surgery in older men explains how the decision is made.
Myth: robotic surgery means no scars
Fact: robotic surgery uses several small incisions, each around one centimetre, with one slightly larger to remove the prostate. They usually heal into small scars that fade over time, and most men find they are barely noticeable after a few months.
Myth: all robotic surgeons get the same results
Fact: outcomes depend on the surgeon's skill and experience, not the robot itself. It is reasonable to ask how many operations your surgeon performs and what their results are.
Myth: you cannot have radiotherapy after surgery
Fact: radiotherapy can be given after surgery if the cancer returns or if the pathology report shows higher-risk features. Our guide to understanding your pathology report explains when this may be considered.
Myth: surgery is the only option
Fact: depending on the cancer, other options include active surveillance, radiotherapy and focal therapy. A good consultation covers every suitable option. Speaking to both a surgeon and an oncologist helps you compare them.
Myth: a large prostate rules out robotic surgery
Fact: experienced robotic surgeons regularly operate on large prostates, and men who have had previous treatment for an enlarged prostate can usually still have surgery.
Getting reliable answers
Every man's situation is different, and general facts are no substitute for advice about your own cancer. Bring any questions you have to your consultation, including ones prompted by things you have read or heard from friends. Prostate Cancer UK has further reliable information.
Professor Prokar Dasgupta has performed robotic prostate surgery for more than two decades. Please contact the clinic to arrange a consultation at The London Clinic.