What Is a Robotic Simple Prostatectomy?
A robotic simple prostatectomy is a minimally invasive surgery used to treat severely enlarged prostates due to Benign Prostatic Hyperplasia (BPH).
It uses robotic-assisted technology (like the da Vinci® surgical system) to remove the inner part of the prostate that’s blocking urine flow — while leaving the outer portion of the prostate intact.
Think of it like scooping out the fruit of an orange while leaving the peel.
When Is It Recommended?
This surgery is typically recommended when:
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The prostate is very large, and you are not a candidate for other treatment options
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You’re having severe urinary symptoms
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You’ve had complications like bladder stones, infections, or urinary retention
How the Surgery Works
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Small keyhole incisions are made in the abdomen.
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A robotic system, guided by your surgeon, removes the overgrown part of the prostate.
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A catheter is placed temporarily to help drain urine while healing begins.
Because it’s done with robotic tools, the surgery is more precise, with less blood loss, faster healing, and smaller scars than traditional open surgery.
Benefits of Robotic Prostatectomy
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Minimally invasive (small incisions, quicker recovery)
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Long-lasting relief from BPH symptoms
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Better bladder emptying and stronger urine flow
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Fewer long-term complications
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Often shorter hospital stay and less pain than traditional surgery
What to Expect
Before Surgery:
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You may need blood work, urine tests, or imaging (like a CT or ultrasound).
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Your doctor will give instructions on medications, fasting, and prep the night before.
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You’ll be under general anesthesia during the procedure.
After Surgery:
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Most patients stay in the hospital just overnight.
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A catheter is left in for about 7 days.
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Mild discomfort, blood in the urine, or urgency can occur for a short time.
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Full recovery usually takes 4–6 weeks.
Possible Side Effects (Usually Temporary)
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Mild urinary burning or urgency
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Fatigue during early recovery
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Retrograde ejaculation (semen flows into the bladder — not harmful, but affects fertility)
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Rare risks: infection, bleeding, or injury to nearby structures
Most men do not experience issues with erections or bladder control after recovery.
Is This Procedure Right for You?
A robotic simple prostatectomy may be a good choice if:
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You have a very large prostate
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Other treatments haven’t worked
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You want a long-term solution for your symptoms
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You’re healthy enough for general anesthesia
