Da Vinci® prostatectomy (prostate removal with robot)

In recent years, the method with the Da Vinci® System has become increasingly established. With these methods, the instruments are not controlled by the surgeon but rather via remote control. The prostate is accessed by creating several small incisions in the abdominal wall through which the instruments are then introduced. The abdomen is distended by air in order to create space for the operation.

With respect to tumour control and preservation of continence, the results are comparable to those achieved with open surgery. Because of the excellent visibility, it is quite possible to protect the potency nerves insofar as the tumour situation allows. Nevertheless, it must be mentioned that after the operation, a significant number of patients suffer from (possibly temporary) impotence. Other possible complications such as haemorrhaging or infections occur as infrequently as they do with the conventional open method. The patient is generally hospitalised for seven days. On the first day, the patient can stand and eat normally. An indwelling catheter is left in the bladder for six days and is removed before the patient is discharged. Afterwards, patients must once again urinate on their own.

The choice of surgical technique (i.e. open or Da Vinci®) depends on the tumour situation, previous surgeries (e.g. hernia or intestinal surgery), the patient's wishes, and the skills of the urologist.