Robotic assisted laparoscopic prostatectomy (RALP)
At Cromwell Hospital, we provide RALP for prostate cancer using the state-of-the-art da Vinci robotic system.
A robotic-assisted laparoscopic prostatectomy (RALP) is an operation, carried out via keyhole surgery, to remove the prostate gland. It is used to treat patients with prostate cancer.
At Cromwell Hospital, our surgeons use the state-of-the-art da Vinci robotic system to perform this type of operation. The benefits of robotic-assisted surgery can include faster recovery time, less urinary incontinence, less chance of scarring and tissue loss, and less blood loss.
A radical prostatectomy is commonly used to treat patients with localised or locally advanced prostate cancer.
Most patients will be placed under general anaesthetic for the operation, which usually takes between 2 and 3 hours.
The surgeon will make a series of very small incisions and then use the da Vinci robotic system to carry out the procedure.
A radical prostatectomy is a significant surgical intervention. Ahead of your operation, it helps if you optimise your fitness and body weight. This is called pre-conditioning.
You should exercise regularly for at least 30 minutes, up to 5 times per week. Your exercise regime should ideally include a couple of muscle-building or higher-impact exercise sessions, in addition to the usual cardiovascular exercise. This should be combined with a varied, mainly plant-based and high-protein diet. Aim for a body mass index (BMI) of 25 or less. This reduces the chance of urine incontinence.
Our team will teach you pelvic floor exercises which you should start practicing before the operation. Physiotherapy of this type has been shown to reduce urine incontinence rates after the surgery by up to 20%. This will help you cope with the operation and build strength afterwards.
The length of time it takes you to recover from the operation depends on a range of factors, including your age and body weight. However, most patients only need to spend around one to two days in hospital.
Our dedicated recovery team of specialist nurses and physiotherapists will work with you closely after your operation to make sure you recover as quickly as possible. Most patients will need to take some time off work to recover, but your consultant will talk you through your recovery plan ahead of your operation.
Why choose us?
We have a team of experienced consultant urological surgeons who have developed their skills and knowledge leading teams in some of the best NHS teaching hospitals in London.
Our surgeons work as part of a multidisciplinary team (MDT), which includes other consultants and experts from different specialties. They meet regularly to review complex cases to ensure the best possible care for each patient.
If you get in touch with us, we can offer a consultation to assess your case the next day. We also offer a rapid route through to surgery, so you can be seen, cared for and recover in the fastest time possible.
Self-pay packages
As well as working with all major insurance companies, we also welcome patients who wish to pay for themselves. We offer a range of self-pay package options, including:
- Fixed price packages that group everything you may need for treatment into one clear price, including pre-admission tests, the procedure, professional fees, post-op outpatient care, and any other consultant-recommended services.
- Hospital packages that group standard diagnostics and the procedure into one clear price. Consultant fees, anaesthetist fees, and any other addition to your treatment are billed separately.
Hospital package price from £15,590 (day case), £16,500 (1 night), and £17,850 (2 nights).
If you would like to enquire about a self-pay package, please call our dedicated team on +44 (0)20 7244 4886.
Included in the package price:
- Consultant’s surgeon and consultant anaesthetist professional fees.
- Two follow-up consultations with consultant within post-op timeframe.
- Pre-admission outpatient tests, which includes standard pathology and diagnostic tests (ECG & Chest X-ray), if required.
- Recovery and accommodation which includes a stay in a private en-suite room.
- Ward medications, dressings, and nursing consumables.
- Theatre Procedure, including anaesthetic drugs and theatre consumables.
- Standard post–op medication issued and used during the inpatient stay.
- Inpatient physiotherapy, pathology, histology, and surgical stockings, if required.
- Discharge medication pertaining to the condition being treated by this package.
- All patient meals and non-alcoholic beverages (light meals for day cases).
- Post-op X-rays and physiotherapy pertaining to the procedure within six weeks.
- Return to theatres within 6 weeks of the procedure date due to complication.
Excluded from the package price:
- Take out supplies.
- Companion beds and catering for relatives / visitors.
- Personal expenses – telephone calls, additional catering, ambulances, etc…
If additional night’s stay, diagnostics, or other services are requested from your consultant you will not be charged in addition for these as these are included within the fixed price package.
Consultants offering this package:
When enquiring about this package please quote M6192
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