What is a Robotic Prostatectomy?

Robotic prostatectomy, also called robot-assisted radical prostatectomy (RALP), is a minimally invasive keyhole surgery used to remove the prostate gland in men diagnosed with prostate cancer.

This procedure is performed using the da Vinci Xi robotic surgical system, which provides the surgeon with high-definition 3D vision and enhanced precision through small abdominal incisions. The system allows delicate dissection around the nerves and blood vessels to preserve urinary control and erectile function whenever possible.

At Gateway Hospital, Umhlanga, Dr. Avikar Singh, a specialist urologist with international robotic training, offers this advanced surgery to patients throughout Durban and KwaZulu-Natal.

Benefits of Robotic Prostatectomy

• Smaller incisions and minimal scarring
• Less blood loss during surgery
• Lower risk of infection
• Shorter hospital stay (2–3 days)
• Faster recovery and quicker return to normal activities
• Improved preservation of urinary continence and erectile function

Who is Suitable for Robotic Prostatectomy?

This surgery is best suited for men with localized prostate cancer that has not spread beyond the gland. It is ideal for patients in good overall health who want a minimally invasive procedure with faster recovery and better functional results.

Robotic prostatectomy is often recommended for younger men who wish to preserve urinary and sexual function after treatment.

Surgical Procedure

• Duration: 2–4 hours
• Anaesthesia: General anaesthesia
• Technique: Several small incisions are made in the abdomen to place robotic instruments
• Procedure: The prostate gland is removed with precision; nearby lymph nodes may also be taken for staging
• Hospital Stay: Usually 2–3 days
• Catheter Duration: Approximately 10 days

Recovery and Post-Surgery Care

Most patients are able to go home within 2–3 days. A urinary catheter stays in place for about 10 days to allow the bladder to heal.

Patients are encouraged to walk soon after surgery and can usually return to light activities within 2–4 weeks. Full recovery, including bladder control and erectile function, may take a few months, depending on the individual.