Robotic Prostatectomy Melbourne
Robotic radical prostatectomy is a minimally invasive surgical procedure used to treat prostate cancer by removing the prostate gland with the assistance of the da Vinci robotic surgical system. This advanced technique allows for greater precision, smaller incisions, reduced blood loss, and faster recovery compared to traditional open surgery.
Written and clinically reviewed by Dr Brendan Dias
Consultant Urologist & Robotic Surgeon · MBBS, MS (General Surgery), DrNB (Urology), IntFRCS (England), FUSANZ, FRACS (Urology)
Last clinically reviewed: 26 August 2026
Benefits
- Enhanced precision through 3D high-definition visualisation and magnification
- Smaller incisions resulting in less post-operative pain and scarring
- Reduced blood loss during surgery
- Shorter hospital stay (typically 1-2 nights)
- Faster return to normal activities
- Improved preservation of urinary continence
- Better outcomes for erectile function recovery
- Lower risk of surgical complications
The Procedure
The surgery is performed under general anaesthesia using the da Vinci robotic surgical system. Dr Dias makes several small incisions (typically 5-6) in the abdomen through which the robotic instruments and camera are inserted. The robotic system provides enhanced visualisation with 10x magnification and 3D imaging, allowing for precise dissection and removal of the prostate gland while carefully preserving the delicate nerves responsible for urinary control and sexual function. The procedure typically takes 2-3 hours, and patients usually stay in hospital for 1-2 nights.
Who Is a Candidate?
Robotic radical prostatectomy is suitable for men diagnosed with localised prostate cancer who are in good general health and have a life expectancy of at least 10 years. It is particularly beneficial for younger, sexually active men who wish to preserve erectile function, and for those seeking the fastest possible recovery. During your consultation, Dr Dias will review your PSA levels, Gleason score, imaging results, and overall health to determine if this approach is optimal for your specific situation.
Recovery
Most patients are discharged 1-2 days after surgery with a urinary catheter, which is typically removed after 7-10 days. Light activities can be resumed within 1-2 weeks, with full recovery expected within 4-6 weeks. Urinary continence typically improves progressively over 3-12 months, with most patients achieving excellent long-term control. Erectile function recovery depends on nerve preservation and pre-operative function, with improvement continuing for up to 24 months after surgery.
Risks & Considerations
As with any surgery, robotic prostatectomy carries some risks including bleeding, infection, and reactions to anaesthesia. Specific risks include temporary or permanent urinary incontinence, erectile dysfunction, changes in orgasm, bladder neck contracture, and lymphocele formation. Dr Dias will discuss all potential risks during your consultation and explain the strategies used to minimise complications.