Robotic prostatectomy is the most advanced surgical technique for treating localized prostate cancer. Using robotic assistance (typically the Da Vinci Xi system), surgeons achieve exceptional precision, minimal bleeding, faster recovery, and improved preservation of continence and sexual function compared to traditional open surgery.
Bangkok is Southeast Asia’s leading center for robotic prostatectomy due to top-tier urologists, modern robotic systems, and hospital standards equivalent to major international cancer institutes.
This guide explains how robotic prostatectomy works, who it is recommended for, what happens during surgery, and what men can expect throughout recovery.
What Is Robotic Prostatectomy?
Robotic prostatectomy is a minimally invasive procedure that removes the entire prostate and seminal vesicles using robotic surgical arms controlled by a specialist urologist.
Key features of robotic surgery:
High-definition 3D visualization
Wristed robotic instruments with extreme precision
Minimal bleeding and tissue trauma
Smaller incisions
Superior nerve-sparing capability
Faster return to normal activities
The robotic system does not operate on its own — the surgeon controls every movement.
Who Should Consider Robotic Prostatectomy?
Robotic prostatectomy is recommended for men who:
Have localized or locally advanced prostate cancer
Are candidates for surgical treatment based on MRI, biopsy, and PSA results
Prefer nerve-sparing surgery to preserve erectile function
Are fit for general anesthesia
Want a faster recovery compared to open surgery
It may also be recommended for:
Recurrent cancer after radiation (salvage robotic prostatectomy)
Younger patients wanting long-term cancer control
Men prioritizing continence and erectile preservation
Benefits of Robotic Prostatectomy
1. High Cancer-Control Precision
Superior visualization allows more accurate removal of cancer tissue.
2. Better Continence Outcomes
Nerve-sparing and precise dissection reduce the risk of urinary leakage.
3. Better Erectile Function Preservation
Improved nerve preservation compared to open surgery.
4. Minimal Blood Loss
Most patients experience very low bleeding.
5. Shorter Hospital Stay
Typically 1–2 nights.
6. Faster Recovery
Quicker return to work and daily activities.
7. Less Pain and Smaller Scars
Small incisions reduce trauma and recovery time.
The Robotic Prostatectomy Procedure
1. Pre-Surgical Evaluation
PSA levels
MRI prostate imaging
Biopsy confirmation
CT or bone scan (if needed)
Erectile and continence assessment
Discussion of nerve-sparing goals
2. Surgery (2–4 hours)
Performed under general anesthesia with robotic assistance.
Main steps:
Small incisions created for robotic instruments
Prostate exposed with magnified 3D visualization
Nerve-sparing approach performed when safe
Prostate and seminal vesicles removed
Bladder rebuilt and reattached to urethra
Lymph nodes removed if indicated
Catheter placed for healing
Robotic precision minimizes trauma to surrounding nerves, bladder neck, and blood vessels.
3. Immediately After Surgery
Stay in hospital for 1–2 nights
Catheter remains for 7–14 days
Pain generally mild
Recovery Timeline
Week 1–2:
Catheter in place
Light walking encouraged
Minimal pain
Week 2–4:
Catheter removed
Continence improves gradually
Resume light activities
Week 6–8:
Return to exercise
Resume driving
Begin erectile rehabilitation if needed
3–12 months:
Erectile function recovery (depending on nerve-sparing)
Long-term continence achieved in most men
Robotic prostatectomy offers faster recovery than traditional open surgery.
Expected Results
For Cancer Control:
High rates of complete cancer removal for localized disease
PSA becomes undetectable within 6–8 weeks
Lower risk of positive surgical margins
For Functional Outcomes:
Better urinary continence vs open surgery
Better erectile recovery when nerve-sparing is possible
Faster healing and return to normal lifestyle
Risks and Complications
Potential risks include:
Urinary incontinence (usually temporary)
Erectile dysfunction (varies by age and nerve-sparing success)
Bleeding
Infection
Scar tissue at bladder neck
Lymphocele (fluid accumulation)
Hernia at incision site
Your surgeon will discuss personalized risk factors.
Why Men Choose Bangkok for Robotic Prostatectomy
Surgeons trained in world-leading prostate cancer centers
Da Vinci Xi robotic systems available
Lower cost than the US, EU, Singapore, or Hong Kong
Faster scheduling and treatment access
International cancer management standards
High privacy and excellent patient support
Frequently Asked Questions (FAQ)
Is robotic prostatectomy safer than open surgery?
Yes — less blood loss, smaller incisions, faster recovery.
Will I be incontinent?
Some temporary leakage is expected; most men recover continence within months.
Can erections return?
Yes — especially with nerve-sparing, though recovery varies.
When can I return to work?
Most men resume normal duties within 2–4 weeks.
Is robotic surgery more expensive?
Slightly, but the improved recovery and outcomes justify the cost.
Key Takeaways
Robotic prostatectomy is the most advanced and precise prostate cancer surgery.
Offers excellent cancer control and improved functional outcomes.
Minimally invasive with faster recovery.
Bangkok provides world-class robotic surgeons at accessible pricing.
Menscape supports men with full pre- and post-surgery guidance.
📩 Considering robotic prostatectomy? Book a confidential consultation at Menscape Bangkok for expert evaluation and treatment planning.
