Robotic Prostate Cancer Surgery in Ahmedabad — Expert Nerve-Sparing Radical Prostatectomy by Dr. Prarthan Joshi

Prostate cancer is the most common solid tumour in men — and for men with localised disease who are candidates for surgery, robotic-assisted radical prostatectomy (RARP) represents the most advanced and most widely adopted surgical approach available worldwide. At Zydus Hospitals, Ahmedabad, Dr. Prarthan Joshi — M.S., M.Ch. (Urology) — performs robotic prostate cancer surgery in Ahmedabad with the precision, nerve-sparing technique, and genuine patient-centred care that every prostate cancer patient deserves.

What is Robotic Radical Prostatectomy?

Robotic-assisted radical prostatectomy is the complete removal of the prostate gland — along with the seminal vesicles and, where indicated, pelvic lymph nodes — performed through 5 or 6 small keyhole incisions using the robotic surgical platform. The surgeon controls the robotic arms from a console providing 10x 3D magnification and fully wristed instruments that eliminate the tremor and range-of-motion limitations of the human hand.

Why Robotic Surgery Produces Better Outcomes

The critical structures for urinary continence and erectile function — the external urethral sphincter and the neurovascular bundles running alongside the prostate — are millimetres from the surgical margin. The precision of robotic dissection at 10x magnification makes the identification and preservation of these structures significantly more reliable than open or conventional laparoscopic surgery. The clinical evidence consistently shows:

• Better urinary continence recovery rates at 3, 6, and 12 months
• Higher rates of successful nerve-sparing — preserving erectile function
• Equivalent oncological cancer clearance to open surgery
• Significantly less blood loss and lower transfusion rates
• Shorter hospital stay — typically 1 to 2 days
• Faster return to normal activity — most men resume light work within 2 weeks

Nerve-Sparing Prostatectomy

For men with localised prostate cancer where the cancer has not invaded the neurovascular bundles, nerve-sparing radical prostatectomy — preserving one or both bundles — significantly improves the recovery of erectile function after surgery. Dr. Prarthan Joshi discusses nerve-sparing candidacy with every patient based on PSA level, biopsy results, MRI findings, and baseline sexual function before surgery.

Who is a Candidate for Robotic Prostatectomy?

• Men with clinically localised prostate cancer (T1-T2) and expected life expectancy greater than 10 years
• Selected men with locally advanced disease (T3) in combination with other modalities
• Men who prefer surgical treatment over radiation-based options after full multidisciplinary discussion

Post-Operative Recovery

The urinary catheter placed during surgery is typically removed 5 to 7 days post-operatively. Urinary continence recovers progressively — most men achieve social continence within 3 months. PSA is monitored at 6 weeks, 3 months, 6 months, and annually thereafter — a rising PSA after surgery is the earliest indicator of recurrence and triggers appropriate next steps.

Comprehensive Prostate Cancer Care

Robotic prostatectomy is one component of Dr. Joshi’s comprehensive prostate cancer clinic in Ahmedabad. Men with BPH requiring surgical treatment — rather than cancer — are managed with BPH treatment, Bipolar TURP, or HoLEP laser surgery. Post-operative erectile function is supported through dedicated erectile dysfunction treatment in Ahmedabad including PRP therapy and pharmacological support.

Book a Consultation

A prostate cancer diagnosis deserves an expert second opinion and a thorough discussion of all available options before any decision is made.
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