{"entity":{"id":"prostatectomy","kind":"term","name":"Radical prostatectomy","aka":["prostatectomy","robotic prostatectomy","robot-assisted prostatectomy","prostatectomies"],"tldr":"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.","asOf":"2026-09-09","wikipedia":"https://en.wikipedia.org/wiki/Prostatectomy","links":[{"label":"Wikipedia","url":"https://en.wikipedia.org/wiki/Prostatectomy"}],"tags":[],"related":[],"indications":["prostate"],"sections":[],"technologies":["psma-pet"],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"category":"Procedures"},"route":"/terms/prostatectomy/","neighbours":{"indication":[{"id":"prostate","kind":"indication","name":"Prostate cancer","route":"/indications/prostate/"}],"technology":[{"id":"psma-pet","kind":"technology","name":"PSMA PET","route":"/technologies/psma-pet/"}],"idea":[{"id":"idea-neoadjuvant-psma-therapy","kind":"idea","name":"Neoadjuvant PSMA radioligand therapy before prostatectomy","route":"/ideas/idea-neoadjuvant-psma-therapy/"}],"trial":[{"id":"lutectomy","kind":"trial","name":"LuTectomy","route":"/trials/lutectomy/"}]}}