Mayo Clinic's approach

A Mayo physician explains prostatectomy options to a man. Explaining prostatectomy approaches, answering your questions

A Mayo Clinic surgeon listens, discusses and explains prostatectomy options with a man.

A comprehensive, personalized approach

Undergoing surgery is a highly personal experience. At Mayo Clinic, your doctor will take the time to listen to your individual concerns and issues. He or she will explain all options and approaches to prostatectomy and answer your questions, designing a plan of care that matches your unique needs. Mayo Clinic's extensive experience and technical capabilities in prostatectomy are brought to bear within a reassuring, people-centric setting.

Mayo physicians confer and collaborate on prostatectomy approaches for patients Mayo physicians confer and collaborate on prostatectomy approaches for patients

A Mayo Clinic surgeon discusses options with colleagues.

Mayo Clinic urologic surgeons and care teams collaborate with one another on all aspects of care for patients undergoing prostatectomy, bringing deep experience and expertise together for each person's benefit.

Experience

Mayo Clinic urologists have been performing radical prostatectomy procedures for several decades and perform more than 1,000 of these procedures each year. Research suggests that surgical outcomes are directly linked to the number of procedures the surgeon has performed.

Mayo surgeons are performing a prostatectomy Mayo surgeons are deeply experienced in all forms of prostatectomy

Mayo Clinic surgeons perform an open prostatectomy. Mayo surgeons are deeply experienced in all forms of prostatectomy, performing over 1,000 procedures each year.

Advanced technology and treatment options

Mayo Clinic surgeons are expert in all types of radical prostatectomy, including robot-assisted prostatectomy.

They are leaders in robotic surgery. Mayo Clinic surgeons pioneered the use of robot-assisted prostatectomy surgery and have been successfully performing and advancing this surgery since 2002.

A surgeon sits at a remote console and conducts robot-assisted prostatectomy. Robot-assisted prostatectomy surgery at Mayo Clinic

A Mayo Clinic surgeon sits at a remote console and uses robotic arms to conduct robot-assisted prostatectomy. A surgical team assists at the operating table.

Using instruments attached to a robot during laparoscopic surgery helps the surgeon make more-precise movements with surgical tools than is possible with traditional laparoscopic surgery.

Mayo Clinic surgeons have been performing and perfecting the radical prostatectomy procedure for decades, both in open and robot-assisted forms, and have contributed significant advances in the understanding of robotic prostatectomy technology and techniques.

Research and innovation

Mayo Clinic researchers are actively involved in studying long-term outcomes after radical prostatectomy. For decades, Mayo Clinic has been compiling a database from records of men who have had prostate cancer surgery. This database helps Mayo Clinic doctors and researchers track treatments and outcomes, and helps them develop techniques that offer you the best chance for cancer cure and quality of life.

Nationally recognized expertise

Mayo Clinic in Phoenix/Scottsdale, Ariz., Mayo Clinic in Jacksonville, Fla., and Mayo Clinic in Rochester, Minn., are all ranked among the Best Hospitals for cancer by U.S. News & World Report. In addition, Mayo Clinic in Rochester, Minn., and Mayo Clinic in Phoenix/Scottsdale, Ariz., are ranked among the Best Hospitals for urology and Mayo Clinic in Jacksonville, Fla., is ranked highly performing.

Comprehensive cancer center

Mayo Clinic Cancer Center meets strict standards for a National Cancer Institute comprehensive cancer center, which recognizes scientific excellence and a multidisciplinary approach to cancer prevention, diagnosis and treatment.

Expertise and rankings

Mayo surgeons and colleagues discussing prostatectomy care Leadership in prostatectomy care and research

Mayo Clinic has pioneered prostatectomy care and advanced research in the field for decades.

Mayo Clinic urologic surgeons and care teams leverage decades of experience and expertise as well as research advancement to their patients undergoing prostatectomy.

Experience and expertise

Mayo Clinic urologists have been performing radical prostatectomy procedures for several decades. In fact, on average Mayo surgeons perform more than a thousand of these procedures each year. Research shows that doctors who perform many prostate surgeries and work in medical centers that care for many men undergoing prostate surgery generally provide superior outcomes.

Mayo Clinic surgeons are expert in all types of radical prostatectomy, including both open and robot-assisted prostatectomy. Mayo surgeons pioneered the use of robot-assisted prostatectomy surgery, and have been successfully performing and advancing the surgery since 2002.

Research into prostate surgery, treatments and outcomes

Mayo Clinic researchers are actively involved in studying long-term outcomes after radical prostatectomy. For decades, Mayo Clinic has been compiling a database from records of men who have had prostate cancer surgery. This database helps Mayo Clinic doctors and researchers track treatments and outcomes, and helps them develop techniques that offer you the best chance for cancer cure and quality of life.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals for urology by U.S. News & World report. Mayo Clinic in Jacksonville, Fla., is ranked highly performing for urology by U.S. News & World Report.

Mayo Clinic in Rochester, Minn., Mayo Clinic in Jacksonville, Fla., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals for cancer by U.S. News & World Report.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

March 28, 2018
References
  1. AskMayoExpert. Radical prostatectomy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  2. Klein EA, et al. Radical prostatectomy for localized prostate cancer. http://www.uptodate.com/home. Accessed Feb. 20, 2017.
  3. Cunningham GR, et al. Transurethral procedures for treating benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed Feb. 20, 2017.
  4. Wein AJ, et al., eds. Radical retropubic and perineal prostatectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  5. Wein AJ, et al., eds. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  6. Wein AJ, et al., eds. Retropubic and suprapubic open prostatectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  7. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. October 22, 2016.
  8. Karnes RJ (expert opinion). Mayo Clinic, Rochester, Minn. Mar 23, 2017.
  9. Tollefson MK, et al. The impact of clinical stage on prostate cancer survival following radical prostatectomy. The Journal of Urology. 2013;189:1707.
  10. Barbara Woodward Lips Patient Education Center. Standard prostate cancer surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  11. Barbara Woodward Lips Patient Education Center. Your robotic-assisted prostate surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  12. Ashfaq A, et al. Incidence and outcomes of ventral hernia repair after robotic retropubic prostatectomy: A retrospective cohort of 570 consecutive cases. International Journal of Surgery. 2017;38:74.
  13. Moris L, et al. Impact of lymph node burden on survival of high-risk prostate cancer patients following radical prostatectomy and pelvic lymph node dissection. Frontiers in Surgery. 2016;3:65.
  14. Kaushik D, et al. Oncological outcomes following radical prostatectomy for patients with pT4 prostate cancer. International Brazilian Journal of Urology. 2016;42:1091.
  15. Alshalalfa1 A, et al. Low PCA3 expression is a marker of poor differentiation in localized prostate tumors: Exploratory analysis from 12,076 patients. Oncotarget. In press. Accessed April 12, 2017.
  16. Gettman MT, et al. Current status of robotics in urologic laparoscopy. European Urology. 2003;43:106.
  17. Krambeck AE, et al. Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot-assisted techniques. BJU International. 2008;103;448.
  18. Leibovich BC (expert opinion). Mayo Clinic, Rochester, Minn. June 2, 2017.