Robotic Prostatectomy, also known as Robotic surgery for prostate cancer or da Vinci Prostatectomy is a minimally invasive surgery that is now the preferred approach for removal of the prostate in those diagnosed with organ-confined prostate cancer.

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Advantages of da Vinci Robotic Surgery for
Prostate Cancer
Robotic laparoscopy prostatectomy offers several advantages. Although experts do not agree as
to whether robotic or open surgery is best, the majority of prostate cancer surgeries in the U.S.
are being done with the laparoscopic/robotic approach, particularly at high volume medical
centers that specialize in prostate cancer treatment. The post-operative goals for treating prostate
cancer are the same regardless of whether the operation is done with an open or laparoscopic
approach.
Less Scaring
The first advantage to robotic surgery is that it is an
application of advance technology and is minimally
invasive. Instead of having a 5 or 6” incision to the skin
and abdominal fascia (See image below, left), patients
have a series of small “band-aid” incisions.
A Shorter Hospital Stay
With smaller incisions, the postoperative pain is
significantly less, which means your length of hospitalization is shorter - as is the time to return
to usual activity.
After the laparoscopic/robotic prostatectomy patients typically do not require an inpatient
hospital stay over one night. Surgery is done in the morning and they typically go home after
lunch on the first operative day. Comparitively, after the open prostatectomy patients spend at
least two nights in the hospital primarily for pain control, nausea and difficulty getting out of bed
and getting back to an activity level that would be appropriate for them to be discharged home. .
Postoperative Catheterization
The third advantage of robotic surgery over open surgery is a reduction in the required
postoperative catheterization time. After open surgery, foley catheters are left to drain the urine
for usually two or more weeks. After the robotic approach, the catheter typically remains in place
5 to 7 days. The reason for this difference is unclear but may be related to the increased precision
and visibility the robotic approach offers and also maybe that a running anastamosis (bringing

2. the bladder neck and urethral sphincter back together) may be done in a water-tight fashion
compared to the open approach.
Erectile Function
The fourth advantage of robotic prostatectomy is the
(at least theoretical) improved ability to preserve the
erectile nerves. During an open prostatectomy
through an incision on the anterior abdominal wall,
the nerves that provide erection are hidden behind
the prostate. The approach taken using the surgical
robot, enters the abdomen and the robotic arms are
positioned posterior to the prostate with the nerves
directly in front of the robotic/laparoscopic camera. In this way, the nerves maybe preserved,
primarily because the anatomy can be seen more clearly compared to open surgery.
Advantages of Robotic prostatectomy
Minimal Bleeding Faster return to normal daily activities .
Reduced hospital stay Significantly less pain and scarring
Lower blood transfusion rates
Improved preservation of physical appearance.
Three (3) D vision enables surgeon to perform Prostate excision with Cancer.
Control without risk of Post Surgery Continence (control over urinary and fecal
discharge) and causing Impotency
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