Important: This page is general education, not personal medical advice.
What is robotic simple prostatectomy?
Robotic simple prostatectomy removes the enlarged inner portion of the prostate that blocks urine flow. It is typically considered for larger prostates and significant bladder outlet obstruction from BPH. The outer prostate capsule remains in place.
Who may benefit?
- Very enlarged prostate with severe LUTS or retention
- Failed medication or less invasive treatments
- Patients needing durable relief of obstruction
- Select cases with concurrent bladder stones/diverticula (case-specific)
Potential advantages
- Strong improvement in urine flow and emptying
- Useful option for large-volume glands
- Robotic approach may reduce blood loss and shorten recovery in experienced hands
Risks and trade-offs
- Bleeding, infection, temporary catheter requirement
- Retrograde ejaculation is common
- Temporary urgency/frequency as healing occurs
- Less commonly: scar tissue, incontinence, need for additional treatment
Typical recovery timeline
- Hospital stay: often short (commonly 1 day, varies by case)
- Early recovery: fatigue and urinary irritation can occur for days to weeks
- Return to routine activity: usually progressive over 2–6 weeks based on surgeon guidance
Procedure video (graphic, real operative footage)
Real robotic simple prostatectomy case footage. Viewer discretion advised.
Source: Cleveland Clinic Consult QD linked operative video.
Questions to ask your urologist
- Is RSP the best option for my prostate size and anatomy?
- How does RSP compare with other BPH procedure options in my case?
- How long will I need a catheter and activity restrictions?
- What are expected sexual side effects and recovery milestones?