In many cases of prostate cancer, surgical removal of the entire prostate gland, called radical prostatectomy, is the preferred treatment.
Robotic Radical Prostatectomy
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 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.
| Traditional | Robot-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 |
Radical prostatectomy: Pre- and post-surgery guidelines
UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
