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Robotic Radical Prostatectomy

In many cases of prostate cancer, surgical removal of the entire prostate gland, called radical prostatectomy, is the preferred treatment.

Traditionally, prostatectomy is performed by making an incision in the lower abdomen. During the past 20 years, the surgical technique has improved the ability to cure prostate cancer while reducing potential complications such as blood loss, incontinence and erectile dysfunction.

Improvements in technology and surgeon experience have led to the development of minimally invasive, or laparoscopic, operations where the procedure is visualized with a small telescope and performed through several small incisions, rather than one large one.

This approach is used to perform radical prostatectomy with a state-of-the-art robotic system, called the daVinci Surgical System. It provides a magnified, 3-dimensional view during the operation and maintains surgeon dexterity through its robotic arms.

UCSF Medical Center uses the robotic system, drawing on our prior experience and achieving similar excellent results.

A comparison of the traditional and robot-assisted radical prostatectomy is summarized below.

TraditionalRobot-Assisted

Operative Time   

2.5 – 3 hours

4 – 5 hours

Blood Loss

@ 600 cc

@ 200 cc

Visualization

2.5 – 4.5x magnification   

4 – 10x magnification

Estimated Incision Size  

9 cm

One 2.5 cm and four 1 cm

Pain

Limited

Likely reduced

Hospitalization

1 – 2 days

1 – 2 days

Catheterization

7 days

Potentially less

Continence

About 95 percent

About 90 percent

 

Reviewed by health care specialists at UCSF Medical Center.

Related Information

UCSF Clinics & Centers

Prostate Cancer Center
1600 Divisadero St., Third Floor
San Francisco, CA 94115
Phone: (415) 353-7171
Fax: (415) 353-7093

Condition Information