Robotic Prostatectomy in Singapore
Robotic prostatectomy is an advanced minimally invasive surgery to remove the prostate gland in patients with prostate cancer. Using robotic assistance, the surgeon performs precise dissection and reconstruction through small incisions, improving outcomes and recovery.
Medically reviewed by Dr Ho Siew Hong
Senior Consultant Urologist
MBBS (NUS), FRCS (Edinburgh, Glasgow), FAMS (Urology), Singapore Board Certified Urologist
This procedure uses the da Vinci robotic system to remove the prostate and surrounding tissues affected by cancer. The robotic arms provide enhanced precision, 3D visualisation, and better control for nerve-sparing (preservation of erection function) and urinary continence-preserving techniques. It enhances complete cancer removal with lower probability of margin involvement.
- Clinically significant prosate cancer, confirmed with prostate biopsy
- Localised early prostate cancer with cancer confined within the prostate, Stage 1 and 2
- Prostate cancer with invasion into capsule or margin of prostate (possible T3 tumor)
- It can be considered in Stage 3 prostate cancer with lymph nodes involvement but will require additional post surgery hormonal therapy
- Smaller incisions and less blood loss (blood transfusion is almost never needed)
- Faster recovery and shorter hospital stay
- Reduced pain and better cosmetic results
- Higher precision for nerve-sparing and continence control
- Better cancer control in experienced hands
- General anaesthesia is administered
- 5–6 small abdominal incisions are made for robotic instruments (most measuring 8mm)
- The prostate is carefully dissected from surrounding tissues
- The urethra is reconnected to the bladder (anastomosis)
- A urinary catheter is inserted for healing
- Incisions are closed and dressings applied
- Surgery typically takes about 2-3 hours
- Hospital stay of 1–2 nights
- Catheter removed after 1–2 week
- Light activity after 1 week; full recovery in 4–6 weeks
- Pelvic floor exercises advised for urine continence,
- Penile rehabilitation for recovery of erectile function
- Regular PSA monitoring post-surgery
- Urinary incontinence (usually temporary)
- Erectile dysfunction
- Bleeding, infection, or blood clots
- Anastomotic leak or stricture (rare)
Considering Robotic Prostatectomy?
Discuss your diagnosis and treatment options with Dr Ho Siew Hong, experienced in robotic prostate cancer surgery. Early evaluation supports faster recovery and better outcomes.
Frequently Asked Questions
Most men regain continence within a few weeks to months. It is very important to commence pelvic floor exercises as early as possible.
Nerve-sparing surgery helps preserve function, but recovery varies. Penis rehabilitatoin with medical therapy and vacum devices.
Yes, it offers faster recovery, less pain, and better precision. Robotic prostatectomy is the standard of care for prostate cancer surgery.
The patient is usually discharged from hospital with a urinary catheter which can be easily managed at home. The catheter is usually removed after 7 seven from surgery. Dr Ho performs a cystogram study to ensure that the wound had healed before the catheter is removed.
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