{"id":10343,"date":"2026-05-18T07:59:28","date_gmt":"2026-05-18T00:59:28","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10343"},"modified":"2026-08-15T00:21:55","modified_gmt":"2026-08-14T17:21:55","slug":"robotic-prostatectomy","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/ar\/services\/robotic-prostatectomy\/","title":{"rendered":"Robotic Prostatectomy in Bangkok"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Robotic Prostatectomy in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Da Vinci robotic-assisted radical prostatectomy for prostate cancer treatment \u2014 delivering precision oncologic control with optimized preservation of continence and erectile function. Bangkok Hospital Headquarters&#8217; Center of Excellence for Robotic Urological Surgery.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Robotic Surgery Fellowship, Chang Gung Memorial Hospital, Taiwan<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" style=\"background-color:#c8102e\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Prostate Cancer Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Is Robotic Radical Prostatectomy?<\/h2>\n<p>Robotic-assisted laparoscopic radical prostatectomy (RALP) is the surgical removal of the entire prostate gland and surrounding tissues using the <strong>Da Vinci Surgical System<\/strong>. It is the most common surgical approach to prostate cancer worldwide and offers superior visualization, precision, and tissue handling compared to open or conventional laparoscopic surgery. For background on how this technology developed and where it is heading, see <a href=\"https:\/\/drsoaraweeurology.com\/2024\/03\/11\/robotic-urology-surgery-era\/\">the rise of robotic urological surgery<\/a>.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Advantages Over Open Surgery<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Smaller incisions<\/strong> \u2014 5\u20136 keyhole ports instead of one large abdominal incision<\/li>\n<li><strong>Reduced blood loss<\/strong> \u2014 typically less than 200 mL versus 500\u20131000 mL in open surgery<\/li>\n<li><strong>Shorter hospital stay<\/strong> \u2014 typically 2\u20133 days versus 5\u20137 days<\/li>\n<li><strong>Faster recovery<\/strong> \u2014 return to normal activity in 4\u20136 weeks<\/li>\n<li><strong>Better nerve-sparing precision<\/strong> \u2014 improved preservation of erectile function<\/li>\n<li><strong>Improved continence outcomes<\/strong> \u2014 with proper technique, urinary control returns earlier<\/li>\n<li><strong>Magnified 3D visualization<\/strong> \u2014 10x magnification of surgical field<\/li>\n<\/ul>\n<p><em>Cancer control is equivalent between robotic and open surgery in experienced hands; the advantages above relate to recovery and precision rather than to cure rates.<\/em><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Who Is a Candidate?<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">Robotic prostatectomy is indicated for men with:<\/p>\n<ul class=\"wp-block-list has-white-color has-text-color\">\n<li>Localized prostate cancer (stages T1 to T3a)<\/li>\n<li>Life expectancy of 10 or more years<\/li>\n<li>Adequate general health for major surgery<\/li>\n<li>Preference for surgical treatment over radiation<\/li>\n<li>Cancer not invading adjacent organs or distant metastases<\/li>\n<\/ul>\n<p class=\"has-white-color has-text-color\"><em>Selection between surgery, radiation therapy, and active surveillance is highly individualized and requires multidisciplinary discussion.<\/em> Where the disease has already spread beyond the prostate, <a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/31\/androgen-deprivation-therapy\/\" style=\"color:#c9a84c\">androgen deprivation therapy<\/a> becomes the mainstay of treatment instead of surgery.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Pre-Operative Workup<\/h2>\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2024\/01\/12\/mri-transperineal-prostate-biopsy\/\">Prostate Biopsy<\/a><\/strong> \u2014 confirms cancer diagnosis with Gleason score grading<\/li>\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/17\/mri-prostate-interpretation\/\">Multiparametric MRI<\/a><\/strong> \u2014 maps tumor location, extracapsular extension, lymph node status<\/li>\n<li><strong>PSMA PET-CT<\/strong> \u2014 modern staging modality for higher-risk cancers<\/li>\n<li><strong>Bone scan<\/strong> \u2014 when indicated for higher-grade disease<\/li>\n<li><strong>Pre-operative continence and erectile function assessment<\/strong> \u2014 baseline for postoperative comparison<\/li>\n<li><strong>Anesthesia review and cardiac clearance<\/strong> when indicated<\/li>\n<\/ul>\n<p>Most patients reach this point after an elevated PSA result. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/07\/what-should-you-do-if-high-psa\/\">What a high PSA actually means<\/a> explains how false positives are excluded and how the decision to biopsy is made.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">The Procedure<\/h2>\n<ul class=\"wp-block-list\">\n<li><strong>Anesthesia:<\/strong> General anesthesia<\/li>\n<li><strong>Operative time:<\/strong> 2\u20134 hours<\/li>\n<li><strong>Surgical approach:<\/strong> 5\u20136 small abdominal incisions for robotic ports<\/li>\n<li><strong>Nerve-sparing:<\/strong> Selectively preserves the cavernous nerves responsible for erections, when oncologically appropriate<\/li>\n<li><strong>Lymph node dissection:<\/strong> Performed when indicated based on risk classification<\/li>\n<li><strong>Hospital stay:<\/strong> 2\u20133 nights<\/li>\n<li><strong>Catheter duration:<\/strong> 7\u201310 days<\/li>\n<li><strong>Return to non-strenuous activity:<\/strong> 4\u20136 weeks<\/li>\n<li><strong>Penile rehabilitation:<\/strong> Initiated early to optimize erectile recovery<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">When Recovery Is Not Complete: Corrective Surgery<\/h2>\n<p>Most men regain urinary control and, with nerve-sparing surgery and rehabilitation, useful erectile function. A minority do not, and it matters that those men know the road does not end with conservative treatment. Two established corrective operations exist, and <strong>both are performed by Dr. Soarawee at Bangkok Hospital Headquarters<\/strong>, so a patient does not have to be sent elsewhere to complete his recovery.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Artificial urinary sphincter (AUS)<\/strong> \u2014 a fluid-filled cuff placed around the urethra and operated by a pump in the scrotum, for men with persistent significant leakage that has not improved with pelvic floor rehabilitation and time. It is the standard treatment for this problem and restores continence reliably.<\/li>\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\">Inflatable penile prosthesis<\/a><\/strong> \u2014 for men whose erectile function does not recover adequately despite rehabilitation and medication.<\/li>\n<\/ul>\n<p>Neither operation is a first step. Both are considered only after a genuine trial of conservative treatment, usually at least a year after surgery, and both are implants, so infection and the possibility of revision surgery years later are part of the discussion before anyone commits. Note that mid-urethral sling surgery and urethral bulking agent injection are not performed at Bangkok Hospital Headquarters; referral is arranged where those are the better option.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Robotic Prostatectomy at Bangkok Hospital \u2014 Dr. Soarawee&#8217;s Role<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83e\udd16 Robotic Surgery Fellowship<\/strong> \u2014 trained at Chang Gung Memorial Hospital, Taiwan, one of Asia&#8217;s highest-volume Da Vinci surgical centers<\/li>\n<li><strong>\ud83d\udc65 Part of the BHQ robotic surgery team<\/strong> \u2014 Dr. Soarawee contributes to robotic prostatectomy care within the multidisciplinary team, with a focus on men&#8217;s health and functional recovery<\/li>\n<li><strong>\ud83c\udfaf Functional outcomes focus<\/strong> \u2014 counseling on nerve-sparing considerations and structured post-operative penile rehabilitation to support erectile recovery<\/li>\n<li><strong>\ud83d\udcca Comprehensive recovery program<\/strong> \u2014 early continence guidance, <a href=\"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\">post-prostatectomy ED management<\/a>, and <a href=\"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/\">TRT coordination<\/a> when needed<\/li>\n<li><strong>\ud83d\udd27 Corrective surgery when needed<\/strong> \u2014 artificial urinary sphincter implantation for persistent incontinence, and penile prosthesis surgery for erectile dysfunction that does not recover, both performed at BHQ<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 fully equipped Da Vinci surgical platform with an experienced multidisciplinary urology team<\/li>\n<li><strong>\ud83c\udf10 International patient services<\/strong> \u2014 comprehensive surgical packages including transportation, accommodation, and post-operative follow-up<\/li>\n<li><strong>\ud83d\udd1d Integrated Men&#8217;s Health follow-up<\/strong> \u2014 Dr. Soarawee provides post-prostatectomy men&#8217;s health care, including erectile function, continence support, and hormonal health<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q1: Is robotic prostatectomy better than open surgery?<\/h3>\n<p>Cancer cure rates are equivalent between robotic and open techniques when performed by experienced surgeons. However, robotic prostatectomy offers significantly less blood loss, smaller incisions, shorter hospital stays, faster recovery, and improved precision in nerve-sparing. It is now the preferred approach at most international referral centers.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q2: Will I have urinary incontinence after surgery?<\/h3>\n<p>Temporary urinary incontinence is common immediately after catheter removal. Most patients regain continence within 3\u201312 months with proper pelvic floor rehabilitation, and permanent severe incontinence is uncommon with modern surgical technique. For the small number of men who continue to leak significantly after a year despite rehabilitation, an artificial urinary sphincter is the standard corrective operation, and it is performed at Bangkok Hospital Headquarters.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q3: Will I have erectile dysfunction after surgery?<\/h3>\n<p>Erectile function recovery depends on three factors: surgical technique (nerve-sparing), age, and pre-operative erectile function. Younger men with good function beforehand and bilateral nerve-sparing surgery have the best chance of recovering satisfactory erections, typically over 12 to 24 months rather than immediately. Early penile rehabilitation with PDE5 inhibitors, vacuum devices, or injections improves outcomes. Where function does not return despite this, a penile implant is a definitive option.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q4: What is the cancer cure rate?<\/h3>\n<p>For organ-confined prostate cancer, long-term cancer-specific survival after radical prostatectomy is very high. For locally advanced disease, additional treatments such as radiation or hormonal therapy may be required. PSA monitoring after surgery detects recurrence early, allowing prompt intervention. Your own figures depend on your stage and Gleason grade and should be discussed individually rather than taken from a general average.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q5: How does Bangkok compare to the USA or Europe for robotic prostatectomy?<\/h3>\n<p>Bangkok Hospital Headquarters uses the same Da Vinci surgical platform found in leading international centers and holds a Center of Excellence accreditation for robotic urological surgery, at a hospital with international (JCI) accreditation. On cost, Dr. Soarawee does not quote prices himself \u2014 for the cost of surgery, hospitalization or any related service, email the Urology department at bhquro@bdms.co.th.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q6: How long do I need to stay in Bangkok for surgery?<\/h3>\n<p>International patients typically spend 10\u201314 days in Bangkok: 2\u20133 days pre-operative workup, 2\u20133 days hospital stay, and 5\u20137 days post-operative recovery before catheter removal and clearance to fly home. Detailed follow-up instructions are coordinated with local urologists in the patient&#8217;s home country.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q7: Can I have children after prostatectomy?<\/h3>\n<p>Natural conception is not possible after radical prostatectomy as the prostate and seminal vesicles are removed. Men planning future fatherhood should arrange sperm cryopreservation before surgery. Assisted reproductive technologies allow successful pregnancy from previously banked sperm.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q8: Can I discuss my case by video before travelling to Bangkok?<\/h3>\n<p>Yes. Bangkok Hospital operates a Telemedicine service and Dr. Soarawee sees patients through it. Arrange it in advance by email to the Urology department at bhquro@bdms.co.th. A video consultation is a sensible first step for reviewing your biopsy result, MRI report and PSA history, and for discussing whether surgery is the right choice at all, before committing to a trip. The examination and the surgery itself are of course in person. Samitivej Sriracha Hospital does not offer telemedicine and is in-person only.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Prostate Cancer Consultation<\/h2>\n<p class=\"has-text-align-center\">Comprehensive prostate cancer care from biopsy through surgery and long-term follow-up.<br \/>International patient services available.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:0880221445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<p class=\"has-text-align-center\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only.<\/p>\n<p class=\"has-text-align-center\"><em><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Medical advice, diagnosis and prescriptions are not provided through personal messaging channels or social media. Always consult a qualified healthcare professional before making any treatment decisions.<\/em><\/p>\n<\/div>\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Physician\",\r\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\",\r\n      \"name\": \"Dr. Soarawee Weerasopone\",\r\n      \"alternateName\": \"Dr. Pom\",\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/\",\r\n      \"image\": \"https:\/\/drsoaraweeurology.com\/wp-content\/uploads\/2025\/12\/IMG_7640.jpg\",\r\n      \"medicalSpecialty\": [\"Urology\", \"Men's Health\", \"Sexual Medicine\"],\r\n      \"worksFor\": {\r\n        \"@type\": \"Hospital\",\r\n        \"name\": \"Bangkok Hospital Headquarters\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"MedicalWebPage\",\r\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/#webpage\",\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/\",\r\n      \"name\": \"Robotic Prostatectomy in Bangkok\",\r\n      \"inLanguage\": \"en\",\r\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\r\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\r\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\r\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\r\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/#ralp\" },\r\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\r\n      \"disambiguatingDescription\": \"Robotic radical prostatectomy is performed at Bangkok Hospital Headquarters on a da Vinci Xi platform, which holds a Center of Excellence accreditation for Robotic Urological Surgery. Removing the prostate causes some degree of urinary incontinence and erectile dysfunction in most men initially, and permanent loss of natural ejaculation and fertility in all. Where recovery is incomplete, an artificial urinary sphincter for incontinence and a penile prosthesis for erectile dysfunction are both performed here. Cost is not discussed on this site; enquiries go to the Urology department at bhquro@bdms.co.th. Fever or chills, calf pain or swelling, sudden breathlessness or chest pain, spreading redness or discharge from a wound, or inability to pass urine after catheter removal require urgent medical review.\"\r\n    },\r\n    {\r\n      \"@type\": \"TherapeuticProcedure\",\r\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/#ralp\",\r\n      \"name\": \"Robotic-Assisted Radical Prostatectomy\",\r\n      \"alternateName\": [\"RALP\", \"da Vinci Prostatectomy\", \"Robotic Prostatectomy\"],\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/\",\r\n      \"bodyLocation\": \"Prostate Gland\",\r\n      \"indication\": {\r\n        \"@type\": \"MedicalIndication\",\r\n        \"name\": \"Localised prostate cancer in a man with sufficient life expectancy to benefit from treatment\"\r\n      },\r\n      \"howPerformed\": \"Performed under general anaesthesia using the da Vinci Xi Surgical System through 5 to 6 small abdominal port incisions. The prostate gland, seminal vesicles and surrounding tissues are removed. A nerve-sparing technique preserves the cavernous nerves where the cancer allows it; this is a decision made on oncological grounds, not on request. Lymph node dissection is performed when indicated. Operative time is 2 to 4 hours, with a 2 to 3 night hospital stay and a urinary catheter for 7 to 10 days.\",\r\n      \"preparation\": \"Workup includes prostate biopsy, multiparametric MRI, PSMA PET-CT in higher-risk cases, baseline continence and erectile function assessment, and anaesthetic review. Men who may want children afterwards should arrange sperm banking before surgery, because the operation ends natural fertility permanently.\",\r\n      \"followup\": \"Pelvic floor rehabilitation begins as soon as the catheter is removed. Penile rehabilitation with PDE5 inhibitors, a vacuum device or injections may be started early. PSA is monitored to detect recurrence. Return to non-strenuous activity takes 4 to 6 weeks. Where continence or erectile function does not recover adequately, an artificial urinary sphincter or a penile prosthesis can be considered.\",\r\n      \"adverseOutcome\": [\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Urinary incontinence, usual immediately after catheter removal and improving over months with pelvic floor rehabilitation\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Erectile dysfunction, expected initially even after bilateral nerve-sparing surgery, with recovery over one to two years and not in every man\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Permanent loss of ejaculation and of natural fertility, in every patient\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Shortening of the penis and altered orgasm are reported by some men\" }\r\n      ],\r\n      \"seriousAdverseOutcome\": [\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Venous thromboembolism: calf pain or swelling, sudden breathlessness or chest pain after surgery is an emergency\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Wound or urinary infection: fever, chills, spreading redness or discharge require same-day review\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Inability to pass urine after catheter removal requires urgent assessment\" },\r\n        { \"@type\": \"MedicalEntity\", \"name\": \"Persistent incontinence requiring an artificial urinary sphincter, or erectile dysfunction requiring a penile prosthesis, which is irreversible once implanted\" }\r\n      ],\r\n      \"recognizingAuthority\": {\r\n        \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/#faq\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Is robotic prostatectomy better than open surgery?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Cancer control is equivalent between the robotic and open approaches when performed by experienced surgeons. The robotic approach generally involves less blood loss, smaller incisions, a shorter hospital stay and faster recovery. What it does not change is the operation itself: the prostate is still removed, and the risks of that removal remain the same. Outcomes track the surgeon's experience and volume more closely than the presence of a robot.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Will I have urinary incontinence after surgery?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Some leakage immediately after the catheter is removed is the rule rather than the exception. Most men improve substantially over the following months with pelvic floor rehabilitation, and a minority are left with troublesome long-term leakage. Where it does not settle, an artificial urinary sphincter is the standard corrective operation and is performed at Bangkok Hospital Headquarters.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Will I have erectile dysfunction after surgery?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Expect erections to be affected at first, even when both nerve bundles are spared. Recovery depends on surgical technique, age and how good erections were beforehand, and it is measured in months to years rather than weeks. Early penile rehabilitation improves the odds but guarantees nothing. Where recovery is incomplete, a penile prosthesis is an option, though implantation is irreversible.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"What is the cancer cure rate?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"For cancer confined to the prostate, long-term cancer-specific survival after radical prostatectomy is high, and most men die of something other than prostate cancer. For locally advanced disease, radiation or hormonal therapy may be needed as well. PSA is monitored after surgery so that any recurrence is picked up early.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"How much does robotic prostatectomy cost in Bangkok?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Cost is not discussed on this site. Please email the Urology department at Bangkok Hospital Headquarters at bhquro@bdms.co.th, who handle all pricing and package enquiries.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"How long do I need to stay in Bangkok for surgery?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"International patients typically spend 10 to 14 days: 2 to 3 days of preoperative workup, 2 to 3 days in hospital, and 5 to 7 days of recovery before the catheter is removed and flying home is cleared. Follow-up is coordinated with a urologist in the patient's own country.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Can I have children after prostatectomy?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"No. Natural conception is not possible after radical prostatectomy, because the prostate and seminal vesicles are removed and there is no longer any ejaculate. This is permanent and applies to every patient. Men who may want children should arrange sperm banking before surgery, after which assisted reproduction can be used.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"What symptoms after surgery need urgent attention?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Pain or swelling in one calf, sudden breathlessness or chest pain \u2014 these suggest a clot and are emergencies. Fever or chills, spreading redness or discharge from a wound, or inability to pass urine after the catheter is removed should be assessed the same day rather than at the next appointment.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Can follow-up be done by teleconsultation?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Bangkok Hospital Telemedicine is available and suits reviewing PSA results and recovery progress once you are home. Arrange it in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only.\"\r\n          }\r\n        }\r\n      ]\r\n    }\r\n  ]\r\n}\r\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Robotic Prostatectomy in Bangkok Da Vinci robotic-assisted radical prostatectomy for prostate cancer treatment \u2014 delivering precision oncologic control with optimized preservation of continence and erectile function. Bangkok Hospital Headquarters&#8217; Center of Excellence for Robotic Urological Surgery. Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Robotic Surgery Fellowship, Chang Gung Memorial Hospital, Taiwan [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10878,"parent":10357,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Da Vinci robotic prostatectomy for prostate cancer in Bangkok \u2014 nerve-sparing technique to preserve continence and erectile function. 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