Concierge robotic urology · UK
Robotic prostatectomy - simple, radical, salvage, Retzius-sparing.
The whole family of da Vinci prostate operations - robotic simple prostatectomy for very large benign glands, radical for localised cancer, Retzius-sparing for early continence, salvage after radiotherapy - matched to the prostate you have.
Why patients choose us
- 01
One platform, one surgeon, many cases
A named consultant urologist who operates on the da Vinci robot every week - not once a month. Robotic prostatectomy volume tracks with continence, potency and margin outcomes across every indication.
- 02
Right operation for the prostate you have
Robotic simple prostatectomy for a very large benign gland; radical for cancer; salvage after radiotherapy; Retzius-sparing where continence matters most. We match the operation to your prostate, not the other way round.
- 03
Independent, and free
We take no fee from any hospital or manufacturer, so the recommendation - robotic surgery, HoLEP, focal therapy, active surveillance or radiotherapy - is impartial and costs you nothing.
Indicative pricing
What private robotic prostatectomy costs in the UK.
Indicative ranges across our partner robotic urology units. Send the imaging or histology and we quote firm figures across two or three surgeons.
In short
Robotic radical prostatectomy in our network: £16,000–£25,000, home in 1–2 nights.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Robotic simple prostatectomy (very large BPH) | £13,500–£20,000 | 90–150 min | 1–2 nights |
| Robotic radical prostatectomy (standard) | £16,000–£25,000 | 120–240 min | 1–2 nights |
| Robotic Retzius-sparing radical prostatectomy | £17,500–£26,500 | 150–240 min | 1–2 nights |
| Robotic salvage prostatectomy after radiotherapy | £22,000–£35,000 | 3–5 hours | 2–4 nights |
| Robotic prostatectomy with extended pelvic lymphadenectomy | £19,500–£28,500 | 3–4 hours | 1–3 nights |
| Consultant robotic urology consultation | £280–£450 | 30–45 min | Same visit |
| Multiparametric MRI prostate (mpMRI) | £450–£700 | 30–45 min | 24–72 hours |
Prices vary by hospital and by variant - salvage and extended lymphadenectomy sit at the top of the range. Pre-op imaging and post-op continence rehab are separate line items. We come back with a firm quote within one working day.
The problem
Not every prostate needs the same operation.
Robotic prostatectomy is a family of operations, not one. Match the variant to your gland - benign or malignant, primary or salvage, continence-first or oncology-first.
-
Benign vs cancer are different operations
Robotic simple prostatectomy for a very large benign gland removes the adenoma and spares the capsule. Robotic radical prostatectomy for cancer removes the whole gland and seminal vesicles. Very different consequences.
-
Continence vs cancer control
For localised cancer, Retzius-sparing improves early continence; standard anterior approaches remain the workhorse. For salvage after radiotherapy, cancer control leads and continence is realistically compromised.
-
HoLEP and focal alternatives on the table
For benign disease, HoLEP is often preferred over simple prostatectomy. For localised cancer, focal HIFU or brachytherapy suit selected patients. We say when they fit.
The journey
From enquiry to continence - what happens, in order.
One team from imaging through pelvic floor prehab, surgery, catheter removal and continence rehabilitation.
Phase 1 · Before
Imaging, MDT, pelvic floor
Phase 2 · On the day
Theatre and ERAS
Phase 3 · After
Catheter out, rehab, PSA
- 01
Before
You share what you know so far
A short, confidential form. PSA history, biopsy or MRI results, urinary symptoms and any previous prostate procedures.
- 02
Before
We come back with a recommendation
Within one working day: whether robotic surgery is the right route, which variant (simple, radical, salvage), and an indicative price.
- 03
Before
Imaging, urodynamics and MDT
Multiparametric MRI, uroflowmetry for benign disease, PSMA-PET for higher-risk cancer, and MDT discussion for oncological cases.
- 04
Before
Pre-operative pelvic floor work
Six weeks of pelvic floor physiotherapy before surgery reliably improves continence recovery - regardless of which prostatectomy variant you have.
- 05
On the day
Admission and surgery
Same-day admission, GA in theatre. Robotic simple prostatectomy 90–150 min; robotic radical 120–240 min; Retzius-sparing similar; salvage 3–5 hours.
- 06
On the day
ERAS discharge with a catheter
Enhanced recovery pathway - most patients home in 1–2 nights with an indwelling catheter for 7–14 days.
- 07
After
Catheter removal, PSA and rehabilitation
Trial without catheter at 7–14 days. Pelvic floor rehab from week 3. PSA nadir at 6 weeks (radical); post-void residual and flow rate check at 6 weeks (simple).
Typical end-to-end: 4–8 weeks from enquiry to surgery. Continence recovery: weeks to 12 months.
When it helps
When robotic prostatectomy is the right route.
The situations we see most, plus the one red flag that means oncology-led decision-making, not immediate surgery.
-
Very large benign prostate (over 80–100 mL)
A prostate too large for TURP or HoLEP - a robotic simple prostatectomy safely removes the adenoma while sparing the capsule and neurovascular bundles.
-
Localised prostate cancer needing surgery
The standard curative surgery for suitable localised disease. See the dedicated prostate-cancer robotic prostatectomy page for cancer-specific details.
-
Recurrent bladder outflow obstruction after previous surgery
A regrown obstructing adenoma after old-style prostatectomy or repeat TURP - robotic simple prostatectomy handles distorted anatomy well.
-
Prostate cancer after radiotherapy (biochemical failure)
A rising PSA after radiotherapy with biopsy-proven local disease - salvage robotic prostatectomy is technically demanding but achievable in expert hands.
-
Prostate stones and infection with large gland
Refractory prostatitis or prostatic calculi in a very enlarged gland where medical therapy has failed - occasionally a simple prostatectomy indication.
-
Preserved-continence approaches
Retzius-sparing (posterior approach) preserves the anterior support, giving earlier return of continence - a good match for patients where continence is the priority.
-
Concurrent bladder stone or diverticulum
Large bladder stones or diverticula alongside prostate enlargement - often addressed at the same robotic operation.
-
Red flag: metastatic prostate cancer at presentation
PSMA-PET-proven metastases usually mean systemic therapy first, not surgery - an oncology-led decision, not a private booking.
Technique options
One robot, several operations.
Each variant of robotic prostatectomy, explained - including where HoLEP, TURP or focal therapy would fit better.
-
Robotic simple prostatectomy
Enucleation of the benign adenoma with preservation of the capsule and neurovascular bundles. For very large glands (typically over 80–100 mL) where TURP or HoLEP are not ideal. Not for cancer.
-
Robotic radical prostatectomy (standard anterior)
The workhorse cancer operation - removal of the whole gland, seminal vesicles and often pelvic lymph nodes. Six-port transperitoneal or extraperitoneal approach.
-
Robotic Retzius-sparing radical prostatectomy
A posterior approach that preserves the anterior pelvic support and puboprostatic ligaments - associated with earlier return of continence in randomised data.
-
Robotic extraperitoneal prostatectomy
Avoids opening the peritoneum. Useful in patients with previous abdominal surgery or adhesions. Comparable oncological and functional outcomes.
-
Robotic salvage prostatectomy
After failed radiotherapy or focal therapy. Longer, more complex, higher complication rate - a high-volume centre operation with clear consent about continence and potency risks.
-
Nerve-sparing techniques
Interfascial, intrafascial or extrafascial dissection of the neurovascular bundles depending on tumour location and grade. The single biggest technical choice for erectile function.
-
Extended pelvic lymphadenectomy
Standard for intermediate and high-risk cancer - from obturator up to the common iliac and presacral nodes. Improves staging and may improve outcome.
-
Alternatives: HoLEP, TURP, focal therapy
For benign disease, HoLEP and TURP are often preferred for smaller glands. For localised cancer, focal HIFU or brachytherapy suit selected patients. We say when they fit.
Our vetted UK network
A small panel of robotic urologists, we picked them.
High-volume robotic urologists across London and the major UK cities, comfortable across simple, radical and salvage prostatectomy. Introductions are made privately.
Selection criteria
How we choose every robotic urologist in our network.
-
High-volume robotic urologists with audited series across benign, cancer and salvage indications
-
Uro-oncology MDT for every cancer case and salvage prostatectomy discussion
-
Pelvic floor physiotherapy integrated before and after surgery
-
Andrology and continence clinic support for erectile function and stress incontinence
Safety and recovery
What to expect afterwards - honestly.
Robotic prostatectomy is a well-established operation across its variants. The things worth planning are the catheter fortnight, the continence rehab and, for cancer cases, PSA surveillance.
-
A big pelvic operation, done as gently as possible
Robotic prostatectomy is major surgery. Plan on 4–6 weeks off desk work and 6–12 weeks before heavy lifting or contact sport. Not a walk-in.
-
Bleeding, transfusion and conversion
Blood loss is typically under 200 mL in modern series. Transfusion under 3 percent. Conversion to open under 2 percent in expert hands.
-
Infection, DVT and ileus
Wound and urinary infection under 5 percent. Prolonged ileus uncommon. DVT prophylaxis with stockings, heparin and early mobilisation is standard.
-
Continence takes weeks to months
Immediate incontinence after catheter removal is common. 80–90 percent of men are pad-free by 12 months after radical prostatectomy; Retzius-sparing shortens the early curve. Simple prostatectomy usually preserves continence throughout.
-
Erectile function is the honest conversation
Recovery depends on age, pre-op function, nerve-sparing extent and time. Half or more of men resume erections adequate for intercourse within 12 months with rehab and PDE5 support after radical surgery. Simple prostatectomy usually preserves erections.
-
Ejaculatory change after any prostatectomy
Any prostatectomy - simple or radical - abolishes normal antegrade ejaculation. Orgasm is preserved but is dry. This applies to every variant and needs to be understood before consent.
-
Positive margins matter for cancer cases
For cancer surgery, positive surgical margin rates vary from 10–30 percent depending on stage. A rising PSA after surgery may need salvage radiotherapy - planned in MDT.
-
Recovery of urinary flow after simple prostatectomy
Flow rates typically double and post-void residual drops sharply. Symptom score improvement mirrors the best HoLEP results in high-volume series.
-
Red flags after surgery
Fever, spreading redness, no urine output, heavy bleeding, calf swelling or breathlessness need the same-day team or A&E, not a routine call.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever variant of robotic prostatectomy was performed, the note the surgeon sends you keeps to the same shape.
A quiet reminder
Urological language is precise - we translate it for you.
If you would like us to talk you through the note, histology and continence plan before your review, just ask.
- 01 Header
Approach, extent and lymphadenectomy
Robotic simple, radical or salvage prostatectomy - with the surgical approach (standard, Retzius-sparing, extraperitoneal) and lymph-node template if performed.
- 02 Technique
Nerve-sparing and reconstruction
Interfascial, intrafascial or extrafascial dissection of the neurovascular bundles, urethro-vesical anastomosis details, and any anterior or posterior reconstruction sutures.
- 03 Findings
Adenoma size or tumour stage, margins and node yield
Weight of adenoma for benign disease; pathological T stage, Gleason grade group, margin status and lymph-node yield for cancer.
- 04 Impression
Rehabilitation and follow-up plan
Read this first: catheter duration, pelvic floor physiotherapy schedule, PSA or flow-rate review timings, and any adjuvant therapy discussion.
Recognised by major UK insurers
Robotic prostatectomy for a genuine indication is usually covered on standard inpatient policies. Salvage cases may need additional pre-authorisation. We confirm cover before booking.
Frequently asked
Everything we get asked about robotic prostatectomy.
Quick answers on simple vs radical, Retzius-sparing, salvage and cost.
-
What is robotic prostatectomy - and how many types are there?
Robotic prostatectomy is any operation on the prostate performed with the da Vinci robotic platform. The three main variants are robotic simple prostatectomy (for very large benign glands), robotic radical prostatectomy (for localised prostate cancer), and robotic salvage prostatectomy (for cancer that has recurred locally after radiotherapy). Each removes different amounts of tissue and has very different functional consequences.
-
When is robotic simple prostatectomy the right choice for benign disease?
When the prostate is very large - typically over 80–100 mL - and causing obstructive urinary symptoms. Smaller glands are usually better treated with TURP, HoLEP, prostatic urethral lift, Rezum or Aquablation. Robotic simple prostatectomy shells out the benign adenoma while leaving the outer capsule, so continence and, importantly, erectile function are usually preserved.
-
What is Retzius-sparing radical prostatectomy?
A radical prostatectomy performed through a posterior approach without dividing the anterior pelvic support (the space of Retzius). It preserves the puboprostatic ligaments and Denonvilliers’ fascia, and randomised data show earlier return of urinary continence - a small but real advantage where continence is the top priority. Oncological outcomes appear comparable in experienced hands.
-
What is the difference between transperitoneal and extraperitoneal robotic prostatectomy?
Transperitoneal opens the peritoneal cavity to reach the prostate - the traditional approach. Extraperitoneal stays in the space in front of the peritoneum, avoiding bowel handling and useful in patients with previous abdominal surgery, hernia mesh or morbid obesity. Both give similar oncological and functional outcomes; the choice is anatomical and surgeon-specific.
-
How does robotic simple prostatectomy compare to HoLEP?
For most large benign prostates, holmium laser enucleation (HoLEP) is at least as good as robotic simple prostatectomy - same-day discharge, no incision, catheter out within 24 hours. Robotic simple prostatectomy has a place for glands over roughly 150 mL, concurrent bladder stones or diverticula, or where the surgeon does not offer HoLEP. We are open about which fits your gland.
-
How much does private robotic prostatectomy cost in the UK?
Roughly £13,500–£20,000 for robotic simple prostatectomy, £16,000–£25,000 for robotic radical prostatectomy, £17,500–£26,500 for Retzius-sparing radical, £19,500–£28,500 with extended pelvic lymphadenectomy, and £22,000–£35,000 for salvage prostatectomy. We confirm a firm figure within one working day.
-
Will I still be able to have children after robotic prostatectomy?
Natural conception is not possible after any prostatectomy because normal ejaculation is abolished. If you want children in future, sperm banking before surgery is essential - a service we arrange as part of the pre-operative plan for any man who might wish to preserve fertility.
Related treatments
Looking for something else?
-
Prostate cancer robotic prostatectomy
Cancer-focused robotic radical prostatectomy.
Learn more -
Prostatectomy (open)
The broader prostatectomy overview.
Learn more -
Prostate cancer prostatectomy
Cancer-focused open radical prostatectomy.
Learn more -
GreenLight laser prostatectomy
Photoselective laser for benign prostate disease.
Learn more -
Da Vinci robotic surgery
The robotic platform explained.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more