Robotic Prostatectomy

Da Vinci robotic prostatectomy is the latest and most technically advanced surgical treatment option for patients undergoing prostate cancer surgery.

Assoc. Prof. Appu utilises the latest Da Vinci 4si robotic system which allows greater visualisation, enhanced dexterity and precise control of tissues with superior ergonomics. The surgery is performed with five small incisions measuring less than 1cm in the abdominal area and leaves minimal scarring.

The state of the art robotic technology allows adjustment for any minor surgical tremors and this is then filtered and translated into precise movement of micro instruments within the patient’s abdominal cavity.

The Da Vinci camera operates on a three dimensional system allowing superior view even in patients who are morbidly obese or with deep set pelvis. The Da Vinci system requires direct input from your surgeon and it cannot make decisions without surgical guidance. As such it is important to select a surgeon who is formally trained and experienced in this complex technique.The proven benefits of robotic radical prostatectomies have been demonstrated in multiple international studies involving direct comparison with open technique.

These include:

  • Reduced hospital inpatient stay

  • Reduced risk of wound infections and pain

  • Reduced average blood loss

  • Reduced transfusion rates

  • Reduced risk of post operative bladder neck contractures (scars blocking the urine outflow post surgery).

  • Quicker mobilisation of patients and return to activities.

Prof. Appu is amongst the highest volume robotic prostatectomy surgeons in Melbourne. He has been performing this surgery since 2009 following a select North American Society of Uro-Oncology Fellowship ( SUO) and subsequent robotic mentorship.

A.Prof Appu has extremely low surgical margin rates, tranfusion rates, incontinence and operative console time. He contributes all his data to the prostate cancer database with individual and comparative feedback. All these factors are reflective of the  surgeon’s training, experience and individual skill rather than the modality alone.