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Robotic prostatectomy vs open surgery: Which is right for you?

When facing prostate cancer surgery, patients often ask: should I choose robotic prostatectomy or traditional open surgery? Understanding the differences can help you make an informed decision that balances safety, recovery, and long-term outcomes.

Robotic prostatectomy, also called robot-assisted radical prostatectomy, uses advanced robotic technology to perform keyhole surgery. Small incisions allow surgeons to operate with precision and 3D magnified vision. The advantages often include less blood loss, reduced pain, shorter hospital stay, and faster recovery. It also allows nerve-sparing techniques, which can improve urinary continence and sexual function after surgery.

Open prostatectomy, the traditional approach, involves a larger incision in the lower abdomen. While highly effective for cancer removal, open surgery can result in longer hospital stays, more post-operative pain, and slower recovery. Some patients may require additional support for continence and sexual function.

Choosing the right surgical approach comes down to surgeon expertise and patient suitability. Professor Prokar Dasgupta OBE is a world-renowned robotic urological surgeon with extensive experience in radical prostatectomy. Based at Guy’s Hospital and King’s College London, he has pioneered robotic prostate surgery in the UK and trained surgeons internationally. Under his care, patients benefit from advanced robotic techniques, personalised nerve-sparing approaches, and careful post-operative follow-up to optimise outcomes.

Ultimately, both robotic and open prostatectomy are proven methods for treating prostate cancer. However, for eligible patients, robotic surgery performed by an expert like Prokar Dasgupta often offers faster recovery and fewer complications. Discussing your individual health, tumour characteristics, and lifestyle priorities with your surgeon will help determine the best option for you.

Making an informed choice ensures not only effective cancer treatment but also quality of life after surgery.

Book your consultation today.

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The London Clinic

145 Harley Street, London

W1G 6BJ

Fax: 0203 219 3236


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