# Radical prostatectomy

Source: https://nuclide.cc/terms/prostatectomy/  
Nuclide record `prostatectomy` (Term). Data CC BY-NC 4.0, attribute "Data from Nuclide (nuclide.cc)"; commercial use needs a licence.

## TL;DR

Removing the entire prostate gland and seminal vesicles for localised prostate cancer, now almost always with a robot.

## Summary

One of three options for localised disease alongside radiotherapy and active surveillance; ProtecT showed identical 15-year prostate cancer mortality (~3%) across all three. Robot-assisted laparoscopic prostatectomy dominates in high-income countries with nerve-sparing techniques to reduce erectile dysfunction, but incontinence (5-20%) and impotence (30-70%) remain the main harms. PSA should become undetectable; a rise afterwards (biochemical recurrence) is imaged with PSMA PET and treated with salvage radiotherapy.

## Fields

- Kind: Term
- Last checked: 2026-09-09
- Also known as: prostatectomy; robotic prostatectomy; robot-assisted prostatectomy; prostatectomies

## Sources

- Wikipedia: https://en.wikipedia.org/wiki/Prostatectomy
- Wikipedia: https://en.wikipedia.org/wiki/Prostatectomy

## Connected records

- indications: [Prostate cancer](https://nuclide.cc/indications/prostate/)
- technologies: [PSMA PET](https://nuclide.cc/technologies/psma-pet/)
- ideas: [Neoadjuvant PSMA radioligand therapy before prostatectomy](https://nuclide.cc/ideas/idea-neoadjuvant-psma-therapy/)
- trials: [LuTectomy](https://nuclide.cc/trials/lutectomy/)

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JSON: https://nuclide.cc/api/v1/entities/prostatectomy.json