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Radical Prostatectomy

Complete surgical removal of the prostate gland in localised prostate cancer.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Radical Prostatectomy?

Radical prostatectomy removes the entire prostate, seminal vesicles and, when indicated, the pelvic lymph nodes in localised prostate cancer. Robot-assisted laparoscopic prostatectomy (RALP) is currently the most widely used technique.

Nerve-sparing surgery, which preserves the neurovascular bundles, is critical for postoperative recovery of erectile function. Bilateral nerve-sparing is performed in suitable patients.

Positive surgical margins, Gleason score, pathological stage and PSA kinetics guide decisions about adjuvant or salvage therapy.

Symptoms

Localised prostate cancer (T1–T2, selected T3)
Intermediate- or high-risk disease with >10-year life expectancy
Rising PSA after active surveillance
Biopsy-proven clinically significant prostate cancer
Salvage surgery after failed radiotherapy (selected cases)

Risk Factors

Erectile dysfunction (nerve-sparing preserves 50–80%)
Urinary incontinence (mostly transient, 5–10% long-term)
Bleeding and transfusion requirement
Anastomotic stricture (1–5%)
Lymphocele after lymphadenectomy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • At diagnosis of localised prostate cancer for multidisciplinary discussion
  • If PSA rises after surgery (biochemical recurrence)
  • If persistent incontinence develops after the operation
  • For post-operative bleeding, fever or severe pain

Treatment Methods

01
Robot-assisted radical prostatectomy (RALP, standard)
02
Open retropubic radical prostatectomy
03
Laparoscopic radical prostatectomy
04
Bilateral nerve-sparing in suitable patients
05
Pelvic lymph node dissection in intermediate/high-risk disease

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.