Robotic radical prostatectomy, performed by a surgeon whose volume puts him in the top tier of the field.
Robotic radical prostatectomy is the most studied and most performed minimally invasive prostate cancer operation. It is also the operation in which surgeon volume most clearly correlates with outcomes — particularly for continence recovery, nerve preservation, and cancer control. Dr. Savatta has performed over 3,000 robotic prostatectomies.
What the operation involves
The prostate and seminal vesicles are removed through several small incisions, with continuity restored between the bladder and urethra. Pelvic lymph nodes are removed when staging requires it. Nerve-sparing technique is used when oncologic safety allows it.
Most patients leave the hospital within one to two days. A urinary catheter remains for one to two weeks.
Why volume matters
Published outcomes correlate with surgeon volume — for positive margin rates, for early continence recovery, and for erectile-function outcomes when nerve sparing is appropriate. The technical learning curve in robotic prostatectomy is real and long. Choosing a surgeon with substantial experience is one of the few decisions a patient can make that meaningfully affects outcome.
Recovery: what's realistic
Continence returns over weeks to months in most men. Pelvic-floor rehabilitation begun before surgery and resumed early after catheter removal speeds recovery. Sexual function recovery, when nerve sparing is performed, can take twelve months or longer.
Common questions
Open or robotic — which is better?
In experienced hands, robotic prostatectomy reduces blood loss and shortens recovery. Cancer outcomes depend more on the surgeon than the platform. Volume in either approach matters more than the choice between them.
How long is the catheter in place?
Typically one to two weeks. Removal is done in the office with a follow-up appointment.
Will I be incontinent?
Some leakage is expected immediately after catheter removal. Most men regain meaningful continence within three to twelve months. Severe long-term incontinence is uncommon in high-volume hands.
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