Robotic simple prostatectomy for very large prostates and severe BPH obstruction.
Robotic simple prostatectomy removes the inner obstructing prostate tissue while leaving the prostate capsule in place. It is different from radical prostatectomy for cancer. It is considered when prostate size, anatomy, retention, bleeding, stones, or failed prior therapy make smaller options less suitable.
Who this may fit
- Men with very large prostates, urinary retention, bladder stones, recurrent bleeding, or severe obstruction.
- Patients who are poor candidates for office procedures or smaller transurethral operations.
- Men comparing HoLEP, Aquablation, TURP, and robotic simple prostatectomy.
Evaluation before treatment
Planning includes prostate sizing, bladder evaluation, residual urine measurement, PSA context, and review of prior BPH treatments.
The discussion should clarify that this is a benign prostate operation, not cancer surgery.
Recovery and follow-up
This is a hospital-based robotic operation with catheter, incision care, activity restrictions, and follow-up planning.
Recovery expectations depend on prostate size, bladder condition, bleeding risk, and baseline health.
Common questions
Is this the same as robotic prostatectomy for cancer?
No. Simple prostatectomy treats BPH by removing obstructing inner tissue. Radical prostatectomy removes the prostate for cancer.
Why choose robotic simple prostatectomy?
It may fit very large glands or anatomy where smaller procedures are less suitable.
Related patient guides
Prepare for the consultation
Bring the information that helps compare the right BPH procedure.
You do not need to choose TURP, HoLEP, Aquablation, or robotic surgery before the visit. The goal is to give the urologist enough context to explain which options fit and why.
Do not send medical history through a public website form. Clinical details belong in the practice’s approved patient workflow.
Information to locate
- Recent imaging or a report that includes prostate size, if one exists.
- A list of prior BPH medicines or procedures and what changed afterward.
- Any history of catheter use, urinary retention, bladder stones, bleeding, or prior prostate surgery.
- Your current insurance information and preferred hospital or facility questions.
Questions worth asking
- Which options fit the prostate size, anatomy, bladder function, and treatment goals?
- Why would a transurethral approach or robotic approach be favored in this case?
- What are the expected catheter, hospital, activity, and follow-up plans?
- Which surgeon, facility, anesthesia, and insurance charges should be confirmed?
Simple prostatectomy vs TURP
Compare the surgical route, prostate-size context, recovery questions, and why these operations are not interchangeable.
Review the comparison
HoLEP vs robotic simple prostatectomy
Review the questions that separate a transurethral enucleation approach from robotic large-gland surgery.
Review the comparison
BPH treatment options in New Jersey
Place medication, office procedures, TURP, HoLEP, Aquablation, and robotic surgery in one decision path.
Review the comparison
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