Medically reviewed by
M.Ch. Urology (CMC Vellore) · Fellowship in Urologic Oncology & Robotic Surgery (University of Miami) · NMC Reg. No. NMC/2005020914
This page is for general health information and education only. It does not replace a consultation, diagnosis or treatment by a qualified doctor who has examined you.
Robotic and open radical prostatectomy remove the same organ for the same purpose. Robotic surgery uses small incisions and usually means less blood loss and a shorter hospital stay. Long-term cancer control and urinary and sexual function depend more on the cancer and the surgeon’s experience than on the approach.
Side-by-side comparison
| Robotic prostatectomy | Open prostatectomy | |
|---|---|---|
| Incisions | 5–6 small (about 8 mm) incisions | One 10–15 cm incision |
| Blood loss and transfusion | Usually lower | Usually higher |
| Hospital stay | Typically 2–3 days | Typically 4–7 days |
| Return to desk work | About 2–3 weeks | About 4–6 weeks |
| Urinary control and erections | Similar in randomised studies at 1–2 years; most important factors are age, baseline function, nerve-sparing and surgeon experience | |
| Cancer control | Comparable when performed by experienced surgeons | |
Who each suits
Most men with cancer confined to the prostate who are fit for surgery are suitable for robotic prostatectomy. Open surgery may still be chosen in particular situations, for example when robotic surgery is not available. Radiation therapy is an alternative to surgery for many men; see prostate cancer treatment options.
Read more: robotic prostatectomy · recovery after robotic prostatectomy.
References
- EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer, 2025 edition. uroweb.org
- Coughlin GD et al. Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: 24-month outcomes from a randomised controlled study. Lancet Oncol 2018;19:1051–1060.