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Innovative Urology — Domenico Savatta, MDSchedule
BPH & LUTS · Large Prostate Surgery

Robotic simple prostatectomy for men with very large prostates and severe urinary blockage.

Robotic simple prostatectomy is a BPH operation, not prostate cancer surgery. The goal is to remove the inner obstructing prostate tissue while leaving the outer prostate capsule in place. It is considered when prostate size, anatomy, urinary retention, bleeding, stones, or failed prior treatment make medication, office procedures, or smaller transurethral operations a poor fit.

What the operation treats

Benign prostatic hyperplasia can enlarge the prostate enough to narrow the urinary channel. That can cause weak stream, urgency, frequent urination, nighttime waking, incomplete emptying, bladder stones, recurrent bleeding, or urinary retention.

A simple prostatectomy removes the adenoma, the inner part of the prostate causing the blockage. It is different from radical prostatectomy for prostate cancer, where the entire prostate and seminal vesicles are removed.

Why robotic surgery may be used

The American Urological Association includes open, laparoscopic, and robotic-assisted simple prostatectomy among surgical options when prostate size and patient factors make a transurethral approach less suitable.

Compared with the older open operation, a robotic approach uses small abdominal incisions and may reduce blood loss, hospital stay, and early recovery burden for selected patients. The right choice still depends on prostate size, bladder findings, medical history, and surgeon judgment.

How Dr. Savatta fits this page

Dr. Savatta's public robotic-surgery history includes 3,000 robotic surgeries and 2,000 robotic prostatectomies. His existing BPH material describes robotic simple prostatectomy as a treatment for very large prostates and notes extensive experience with this complex operation.

This page stays specific because the searcher is specific: a man has been told his prostate is too large, his symptoms are severe, or he is comparing UroLift, Rezum, TURP, HoLEP, and robotic simple prostatectomy before deciding where to be evaluated.

Common questions

Is robotic simple prostatectomy the same as robotic prostatectomy for cancer?

No. Robotic simple prostatectomy is used for benign prostate enlargement. It removes the obstructing inner portion of the prostate. Radical prostatectomy for cancer removes the whole prostate and seminal vesicles.

Who is usually considered for this operation?

It is most often considered for men with very large prostates, urinary retention, bladder stones, recurrent bleeding, or anatomy that makes smaller office-based or transurethral procedures less suitable.

Does a simple prostatectomy remove all prostate cancer risk?

No. Prostate tissue remains after a simple prostatectomy, so PSA screening and prostate-cancer risk discussions still matter after recovery.

Patient guide

Sources

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