✦ Prostate Cancer Treatment

Laparoscopic Radical Prostatectomy

Q: How is laparoscopic different from robotic prostatectomy?

Laparoscopic uses standard straight instruments; robotic uses wristed instruments with 3D vision — both achieve equivalent cancer control. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: What is the recovery time after laparoscopic prostatectomy?

Hospital stay is 2–3 days; catheter removed at 10–14 days; full return to work typically takes 4–6 weeks. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Is nerve-sparing possible laparoscopically?

Yes — nerve-sparing bilateral or unilateral prostatectomy is performed laparoscopically in suitable low-risk cases. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Minimally Invasive Laparoscopic Removal of the Prostate for Cancer

3–5 Hours PROCEDURE

2–3 Days HOSPITAL STAY

>88% 10yr SUCCESS RATE

4–6 Weeks RECOVERY

What is Laparoscopic Radical Prostatectomy?

Laparoscopic Radical Prostatectomy removes the entire prostate and seminal vesicles through small laparoscopic port incisions without robotic assistance. Using a rigid laparoscope and standard laparoscopic instruments, the surgeon performs prostate dissection under magnified vision. It offers equivalent oncological outcomes to open surgery with significantly reduced blood loss, shorter hospital stay, and faster recovery. The procedure is performed under general or spinal anaesthesia with a hospital stay of 2–3 Days. Success rates reach >88% 10-year survival in appropriately selected patients at experienced centres.

Men with localised prostate cancer suitable for radical surgery who do not have access to robotic surgery or where laparoscopic expertise is available. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Port Placement

Five or six laparoscopic ports placed in the lower abdomen under CO₂ pneumoperitoneum.

Bladder Neck Division

The bladder neck is identified by gentle traction on the urethral catheter and divided circumferentially.

Nerve-Sparing Dissection

The neurovascular bundles are dissected with cold scissors along the posterolateral prostate surface in the interfascial plane.

Apical Dissection & Urethral Division

The dorsal venous complex is suture-ligated at the prostatic apex. The urethra is divided precisely at the apex.

Anastomosis & Closure

The vesicourethral anastomosis is constructed with interrupted or running absorbable sutures placed laparoscopically.

Outcomes

3–5 HoursDURATION

2–3 DaysHOSPITAL STAY

>88% 10yrSUCCESS RATE

4–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Men with localised prostate cancer suitable for radical prostatectomy.
→Patients seeking a minimally invasive alternative to open surgery.
→Those who want the proven oncological outcomes of radical prostatectomy.
→Men with organ-confined disease (T1–T2) where nerve-sparing is planned.
→Patients with good pre-operative erectile function who want nerve-sparing surgery.
→Those for whom the cost of robotic surgery is prohibitive.

"Laparoscopic radical prostatectomy delivers excellent cancer control with the benefits of minimally invasive surgery. In experienced hands, outcomes rival those of robotic surgery."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

How is laparoscopic different from robotic prostatectomy?+

What is the recovery time after laparoscopic prostatectomy?+

Is nerve-sparing possible laparoscopically?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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