{"id":10343,"date":"2026-05-18T07:59:28","date_gmt":"2026-05-18T00:59:28","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10343"},"modified":"2026-07-25T01:46:26","modified_gmt":"2026-07-24T18:46:26","slug":"robotic-prostatectomy","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/ja\/services\/robotic-prostatectomy\/","title":{"rendered":"\u30d0\u30f3\u30b3\u30af\u306b\u304a\u3051\u308b\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u524d\u7acb\u817a\u6458\u9664\u8853"},"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<\/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 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>\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 (85\u201395%) regain continence within 3\u201312 months with proper pelvic floor rehabilitation. Permanent severe incontinence is uncommon (less than 5%) with modern surgical technique.<\/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. In men under 65 with bilateral nerve-sparing surgery, 60\u201380% recover satisfactory erections within 12\u201324 months. Early penile rehabilitation with PDE5 inhibitors, vacuum devices, or injections significantly improves outcomes.<\/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, 10-year cancer-specific survival exceeds 95% following radical prostatectomy. For locally advanced disease, additional treatments (radiation, hormonal therapy) may be required. PSA monitoring after surgery detects recurrence early, allowing prompt intervention.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q5: How does Bangkok compare to USA\/Europe for robotic prostatectomy?<\/h3>\n<p>Bangkok offers the same Da Vinci surgical platform used in leading US and European centers, at internationally accredited hospitals (JCI). Total cost \u2014 including surgery, hospital stay, and accommodation \u2014 is typically 50\u201370% less than the USA. Surgeons trained at top international centers (Baylor, Chang Gung, etc.) provide care meeting global standards.<\/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<\/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:088-022-1445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\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\/about\/#physician\",\r\n      \"name\": \"Dr. Soarawee Weerasopone\",\r\n      \"alternateName\": \"Dr. Pom\",\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/about\/\",\r\n      \"image\": \"https:\/\/drsoaraweeurology.com\/wp-content\/uploads\/2025\/12\/IMG_7640.jpg\",\r\n      \"medicalSpecialty\": [\"Urology\", \"Robotic Surgery\", \"Urologic Oncology\"],\r\n      \"worksFor\": {\r\n        \"@type\": \"Hospital\",\r\n        \"name\": \"Bangkok Hospital Headquarters\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"MedicalProcedure\",\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      \"procedureType\": \"https:\/\/schema.org\/SurgicalProcedure\",\r\n      \"bodyLocation\": \"Prostate Gland\",\r\n      \"indication\": {\r\n        \"@type\": \"MedicalIndication\",\r\n        \"name\": \"Localized prostate cancer (stages T1\u2013T3a)\"\r\n      },\r\n      \"howPerformed\": \"Performed under general anesthesia using the Da Vinci Surgical System via 5\u20136 small abdominal port incisions. 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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 Book a Prostate Cancer Consultation What Is Robotic Radical Prostatectomy? Robotic-assisted laparoscopic radical prostatectomy (RALP) is the surgical removal of the entire prostate gland and surrounding tissues using the Da Vinci Surgical System. It is the most common surgical approach to prostate cancer worldwide and offers superior visualization, precision, and tissue handling compared to open [&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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