✦ Prostate Cancer Treatment

Robotic Radical Prostatectomy (RARP)

Q: Is robotic prostatectomy better than open surgery?

RARP achieves equivalent cancer control with less blood loss, shorter catheter duration, and faster continence recovery than open surgery.

Q: How long does the catheter stay after RARP?

The urethral catheter is removed after 7–10 days at the post-operative clinic visit once the anastomosis has healed. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Will I be incontinent after prostatectomy?

Most men regain full continence within 3–6 months; nerve-sparing technique and pelvic floor exercises significantly aid recovery. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

State-of-the-Art Robotic Removal of the Prostate for Localised Cancer

3–4 Hours PROCEDURE

1–2 Days HOSPITAL STAY

>90% 10yr SUCCESS RATE

3–6 Weeks RECOVERY

What is Robotic Radical Prostatectomy (RARP)?

Robotic Radical Prostatectomy (RARP) is the most advanced minimally invasive technique for surgical removal of the prostate in localised prostate cancer. Using the da Vinci robotic system, the surgeon operates through small port incisions with magnified 3D vision and wristed instruments providing superior dexterity. RARP offers the best combination of cancer control, continence recovery, and erectile function preservation compared to open surgery. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days. Success rates reach >90% 10-year cancer control in appropriately selected patients at experienced centres.

Men with localised or locally advanced prostate cancer (cT1–T3a), life expectancy >10 years, who are fit for surgery and prefer surgical treatment. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Robotic Port Placement

Six ports placed in the lower abdomen — a 12 mm camera port at the umbilicus and five working ports — then the da Vinci system is docked.

Bladder Neck Dissection

The bladder neck is circumferentially divided at the prostatovesical junction using monopolar scissors under robotic magnification.

Nerve-Sparing Dissection

The neurovascular bundles running posterolaterally along the prostate are dissected in the interfascial or intrafascial plane for nerve preservation.

Apex Dissection & Urethral Division

The urethra is divided at the prostatic apex with careful preservation of maximum urethral length to optimise continence recovery.

Vesicourethral Anastomosis

A watertight anastomosis between the bladder neck and urethral stump is created with interrupted or running absorbable sutures placed robotically.

Outcomes

3–4 HoursDURATION

1–2 DaysHOSPITAL STAY

>90% 10yrSUCCESS RATE

3–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Men with clinically localised prostate cancer (T1–T2, occasionally T3a) suitable for radical prostatectomy.
→Patients who want the benefits of radical prostatectomy with the fastest recovery and least blood loss.
→Those who value maximum nerve preservation for erectile function — robotic precision optimises this.
→Men with high-risk localised disease where surgical pathological staging guides adjuvant therapy decisions.
→Younger patients (under 65) for whom long-term durable cancer control is the primary goal.
→Those who cannot undergo radiation therapy due to prior pelvic irradiation or preference for surgery.

"RARP represents the pinnacle of surgical precision for prostate cancer. The robotic platform allows us to remove the prostate with accuracy that would be impossible with the naked eye alone."

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

Common Questions

Frequently Asked

Is robotic prostatectomy better than open surgery?+

How long does the catheter stay after RARP?+

Will I be incontinent after prostatectomy?+

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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