Craig Nobert, MD

Robotic prostatectomy surgery has been an exciting advance in the surgical treatment of prostate cancer. In this minimally invasive approach to prostate removal, the surgeon uses the state-of-the-art daVinci Surgical System to remove the prostate through a few small incisions instead of one large incision.

The system consists of two primary components: the surgeons viewing and control console and the surgical arm units that position and maneuver detachable and interchangeable surgical instruments.

These pencil-width instruments, with computer-enhanced mechanical wrists, are designed to provide the dexterity of the surgeon's forearm and wrist at the operative site through tiny incisions of less than one centimeter. The magnified, three-dimensional view the surgeon experiences enables them to perform this very precise surgery in an operative field with delicate surrounding structures that is difficult to reach, and can have compromised visibility.

To view an animation of robotic prostate surgery, click here.

For most patients facing prostate cancer surgery, robotic prostate surgery offers numerous potential benefits over traditional (open) prostate surgery, including:

  • Smaller incisions and less blood loss
  • Shorter hospital stay
  • Less pain
  • Faster recovery
  • Superior cancer control
  • Superior nerve sparing
With robotic prostate surgery, a temporary catheter remains in place for considerably less time (five to seven days instead of two weeks), and there is less risk of urinary incontinence and impotence following the robotic prostate surgery procedure due to the exceptional precision of the operation compared to open surgery.

The da Vinci System cannot be programmed or make decisions on its own, and requires that every surgical maneuver be performed with direct input from the surgeon. It has been successfully used in thousands of prostate cancer surgery procedures worldwide, and its use for prostatectomy surgery continues to grow.

If you are facing prostate cancer surgery, and would like a consultation on robotic prostatectomy, call the Department of Urology at St. Luke’s and Roosevelt Hospitals in New York City at 1-877-484-3466.

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