A radical prostatectomy is, in addition to high-dose radiation therapy, the only internationally recognized curative treatment option for localized prostate cancer.
During the procedure, the prostate and seminal vesicles (or parts) are removed. The neck of the bladder is anastomosized directly to the urethra. A nerve sparing technique is attempted to conserve erectile function.
Radical surgery is preferred for patients having at least 10 years expected survival time and organ-localized cancer. Patients with locally advanced cancer are increasingly considered. In such cases, supplementary treatment is often likely.
The surgery can be performed as open surgery or as robot-assisted laparoscopic surgery. There is no difference in side-effects or postoperative complications between these methods.
At Oslo University Hospital, all radical prostatectomies are performed by robot-assistance. This tendency is also consistent with the rest of Norway, western Europe, and the US.
Advantages of robot-assisted laparoscopic surgery compared to surgery:
Less blood loss
Less postoperative pain
Shorter sick-leave period