Prostatectomy (Prostate Removal)

Expertise in robotic prostatectomy, radical prostatectomy and more

Experience Expert Prostate Surgery Care

Beth Israel Deaconess Medical Center (BIDMC) urologists offer many treatment options for conditions affecting the prostate gland and urinary tract. If other, more conservative treatment options are not enough to treat your condition, your care team may recommend a surgical procedure such as prostatectomy. During this procedure, the urologic surgeon removes the prostate.

Conditions We Treat

Prostate care specialists can use prostatectomy to treat: 

  • Prostate cancer.
  • Benign prostatic hyperplasia (BPH). 
  • Other prostate and urinary conditions. 

Our experienced care team will determine which treatment option is best for you. In most cases, they will try less invasive treatments before they suggest surgery. In some cases, and for your safety, your surgeon may switch to performing prostatectomy during the course of transurethral resection of the prostate (TURP).

Types of Prostatectomies

We offer several types of prostatectomies: 

  • Open prostatectomy: In this procedure, the surgeon makes one five- to eight-inch incision (cut) in the lower abdomen. The surgeon uses traditional surgical tools to remove the prostate and nearby lymph nodes. 
  • Laparoscopic prostatectomy: This minimally invasive approach uses multiple, small one-centimeter incisions. The surgeon performs the surgery by inserting and using thin specialized laparoscopic tools (and a camera) through the tiny incisions. The surgeon removes the prostate and nearby lymph nodes. 
  • Robotic prostatectomy: This minimally invasive approach uses multiple, small one-centimeter incisions. The surgeon inserts thin specialized tools (and a camera) through the tiny incisions. Then, the surgeon uses a computer console to control the instruments for the surgery. Robotic surgery gives the surgeon superior 3-D visualization of prostate anatomy and more precise instrumentation. This allows them to perform the meticulous dissection necessary for high-quality prostatectomy. 

Get details on what to expect during your stay at the hospital.

Benefits of Minimally Invasive Prostate Surgery

Advances in minimally invasive technology mean that you can benefit from less invasive surgery to treat urologic conditions. These procedures offer excellent cure rates while reducing possible complications such as:

  • Blood loss. 
  • Infection. 
  • Longer hospitalization. 
  • Protracted pain. 
  • Transfusions.

Compared to traditional, open surgery, robotic surgery allows your surgeon to see inside your body better and have enhanced control over surgical instruments. In expert hands, even those with high-grade cancer benefit from robotic surgery. BIDMC urologists have the skill and experience necessary to perform these complex procedures.

More About Prostate Removal

Candidates for Robotic or Laparoscopic Prostate Surgery

Your prostate care team will determine if you may be a candidate to undergo prostatectomy using a minimally invasive approach. You may not be a candidate for minimally invasive prostatectomy if you: 

  • Have previously been treated for prostate cancer with external beam radiation or brachytherapy and require salvage prostatectomy. Adhesions (scar tissue) can make surgery very difficult and increase the risk of:  
    • Bleeding. 
    • Damaging surrounding organs.  
    • Increasing surgical time.  
  • Have previously undergone extensive abdominal surgery.
After Prostatectomy

Here are some tips on what to expect while you recover from prostate surgery: 

  • Appetite changes: Your appetite may be reduced and some foods may seem unappealing. These problems will correct themselves over time. 
  • Disruptions to your sleep schedule: Your sleep-wake cycle may be disrupted in the sense that you may be awake part of the night and sleep part of the day. This is normal. It will persist until your activity schedule returns to normal.
  • Fatigue: In general, you will feel fatigued and tired for the first three weeks. You may nap frequently, and simple tasks may exhaust you.
  • Pain management: In general, you should only use narcotics for pain before bedtime to help you sleep. You should be able to manage your daytime pain with Motrin and decreased activity.

Division of Urologic Surgery

The Division of Urologic Surgery, part of the Department of Surgery, offers exceptional patient care, research programs, and education and training opportunities.