Cancer treatment
Radical Prostatectomy
A radical prostatectomy removes the entire prostate gland to treat prostate cancer that is contained within it.
Quick answer
Radical Prostatectomy: what it is, why it's done and what happens
A radical prostatectomy removes the whole prostate gland and nearby tissue, often using robot-assisted keyhole surgery. It is one of the main treatments for localised prostate cancer.
- Why it is done: It is used to treat prostate cancer that has not spread beyond the gland, particularly in men who are otherwise fit and expected to benefit from removing the cancer completely.
- What happens: Under general anaesthetic, the surgeon removes the prostate, usually through several small keyhole cuts with robotic assistance, and rejoins the bladder to the urethra.
What it is
A radical prostatectomy removes the whole prostate gland and nearby tissue, often using robot-assisted keyhole surgery. It is one of the main treatments for localised prostate cancer.
Why it is done
It is used to treat prostate cancer that has not spread beyond the gland, particularly in men who are otherwise fit and expected to benefit from removing the cancer completely.
What happens
Under general anaesthetic, the surgeon removes the prostate, usually through several small keyhole cuts with robotic assistance, and rejoins the bladder to the urethra. It typically takes 2–4 hours.
Recovery
A catheter stays in for a week or two, and most men go home within a few days. Recovery of urinary control and erections can take months, supported by pelvic floor exercises and follow-up.
Good to know
Risks and things to consider
The main long-term risks are urinary leakage and erection difficulties, which vary between men and often improve over time. Other risks include bleeding, infection and, rarely, injury to nearby structures.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Radical Prostatectomy: frequently asked questions
Will I be incontinent after prostate surgery?
Many men have some urinary leakage at first, which usually improves over weeks to months, helped by pelvic floor exercises. A minority have longer-lasting leakage that may need further treatment.
Does the surgery affect erections?
Erection problems are common afterwards and depend on the cancer and whether nerves can be preserved. Function often improves over time, and treatments are available to help.
Related
Other cancer treatment
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- British Association of Urological Surgeons / relevant professional body
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