For men with very large prostates causing significant urinary obstruction, robotic simple prostatectomy offers a minimally invasive surgical solution. Unlike radical prostatectomy (which is for cancer), simple prostatectomy removes only the inner obstructing portion of the prostate, preserving the outer capsule. The robotic approach delivers the outcomes of this established operation through small incisions, with reduced blood loss and a faster recovery than the traditional open approach.
TREATMENTS
Robotic Simple Prostatectomy
When Is Robotic Simple Prostatectomy Recommended?
Endoscopic procedures such as TURP become technically more challenging as prostate size increases. Robotic simple prostatectomy is generally recommended when:
• The prostate is very large (> 120 mL), making endoscopic treatment less suitable
• Significant urinary obstruction is causing retention, recurrent infections, or bladder dysfunction
• Previous endoscopic procedures have been insufficient, or repeat endoscopic treatment is not advisable
• Bladder stones or diverticula related to chronic obstruction can be addressed at the same time
Risks and Considerations
All procedures carry risks, which your surgeon will discuss with you in detail. These may include:
• Bleeding — transfusion is uncommon with the robotic approach
• Retrograde ejaculation (very common)
• Temporary urgency and frequency
• Troublesome incontinence is rare
Recovery at a glance: Usually 2–3 nights in hospital; the catheter remains for ~ 1-2 weeks to support healing.
1
Pre-Operative Planning
Prostate volume on MRI or ultrasound, flow studies and bladder function testing plan the most appropriate technique. A cystoscopy may also check whether an endoscopic alternative is an option.
2
Minimally Invasive Surgery
Through small abdominal incisions, the robotic system provides magnified, three-dimensional visualisation to safely and precisely remove the obstructing tissue.
3
Bladder Reconstruction
The bladder neck and prostatic capsule are carefully repaired with dissolving stitches, and a urinary catheter is left for 5–7 days to support healing.
4
Outcome Monitoring
Urinary flow and symptom relief are assessed at follow-up. Most men experience marked improvement in flow and quality of life within weeks of surgery.
Our Approach
