Any experience with Robotic assisted simple prostatectomy (RASP)?

I have not heard of a "simple" prostatectomy. Sounds like something you'd see before or after a TV commercial for "same day complete dental implants." I had a single-incision, DaVinci Robotic-Assisted Radical Prostatectomy, and believe me, there was nothing "simple" about it. I had "deep"..."very deep"...post-op pain for 3-4 weeks. I felt like I had been beat up, assaulted, and pummeled "down there/in there." I had a catheter for 11 days (usually varies 10-14 days). I had profound urinary incontinence for 3-4 months before it started resolving. Despite preservation of both neuro-vascular bundles to keep me sexually "able", I haven't had an erection in these eight (8) months of post-op recovery. The surgery required me to have a two-night stay in the hospital. It should have been one night, but one overly cautious/zealous physical therapist didn't like my quick loss of balance when trying to stand up from my bed that was positioned too low, and involved too much painful abdominal contractions upon rising. Once she set the bed to appropriate height, I stood right up. She said nothing, but later that day a different nurse said: "So, I see you have difficulty standing up and with balance, so we're going to keep you here one more night." I figured it was a good thing, if only to rest more under nursing supervision...again, I was quite beat-up from the supposed "better, single incision" radical prostatectomy. So...my advice is...get a thorough written description of what a "simple prostatectomy" is vs a "real prostatectomy." Then go get a second opinion.

My experience was relatively no pain post op . Received post op physical therapy. .Two years post op minor leakage.

Moral of the story. … everybody got a different story. .

@lizziew
Hello,

Do you know how big your husband’s prostate is ? Mine is very large 172cc.
Thanks

@indyguy
Hi there! My hubby’s prostate is 170cc. His doctor said that only about 1% of men have prostates as large as my husband. I guess you are a rare one as well!

@kenpelan

Did you have RASP?

@lizziew

Oops…I meant to type 160cc, not 170.

@lizziew
Thanks for getting back to me.
I go for biopsy on 12-11-25. Do you know what size his lesions were and what zones they were in ?

I have one lesion 1.2cm in the transition zone. It is a PIRADS 3.

@lizziew yes

@indyguy
Good morning!

My hubby had three lesions. Two Pirads 4 and one Pirads 5.
Lesion 1 is in the anterior paramedian right apex. Size 1.54 x 1.56x1.57cm

Lesion 2 is in the midline anterior . Size .085 x 0.64 x 0.9 cm

Lesion 3 is in midline anterior mid gland. Size 0.78 x 0.74 x 0.57cm

Lesion 1 is Pirads 5. Lesion 2 and 3 are Pirads 4

Prostate size is 160cc

Good luck and hope you have an easy biopsy as possible.

Happy Thanksgiving!
Lizzie

RP 5 weeks ago. No pain afterwards and didnt take a single painkiller. Stayed in only 1 night.
Incontinence : fee flow at first after catheter out but now down to dry nights and 1 pad for the day. Just need a sleep after lunch to help this process.
As others state its diffetent for all. Helps to stay or get fit before by lots of walking and healthy eating. Veg based diet better with lots og fruit. Good luck.!