What should you know about prostate cancer prostatectomy?

During a radical prostatectomy, the surgeon removes the prostate and may remove nearby structures or lymph nodes when clinically appropriate. The operation can be performed through open surgery or small incisions using robotic assistance. The choice depends on the cancer, surgical expertise, and your circumstances.

A temporary urinary catheter is commonly used while the connection between the bladder and urethra heals. Recovery may involve tiredness, urinary leakage, changes in erections, wound discomfort, and gradual return to activity. Your team can offer continence and sexual-health support.

Before surgery, review medicines, blood-thinning drugs, existing urinary symptoms, bowel habits, and other conditions. Arrange transport and practical help for the early recovery period. Afterward, follow catheter and wound instructions, walk as advised, avoid heavy lifting until cleared, and attend pathology and follow-up appointments.

Ask how surgery compares with [Radiotherapy](/treatments/radiation-oncology/radiotherapy/) or [Brachytherapy](/treatments/radiation-oncology/brachytherapy/). [Robotic Cancer Surgery](/treatments/surgical-oncology/robotic-cancer-surgery/) describes an approach, not a guarantee of a particular result.

Contact the surgical team for fever, worsening redness, pus, uncontrolled pain, heavy bleeding, or a catheter that stops draining. Seek urgent help for chest pain, breathlessness, sudden leg swelling, confusion, or inability to pass urine after catheter removal.

Ask: Why is surgery suitable for my cancer? What will be removed? Which approach do you recommend and why? How will urine control and erections be supported? When will pathology be discussed? What follow-up tests and additional treatments might be needed?