A Prostatectomy is surgery to remove part or all of the prostate gland. The prostate gland is situated in the male pelvis, below the urinary bladder. It surrounds the urethra, which carries urine from the bladder to the penis.

A Simple Prostatectomy, use to treat men who have bothersome urinary symptoms that are related to a significantly enlarged benign prostate, should not be confused with a radical prostatectomy, performed to treat prostate cancer.

A Simple Prostatectomy is the treatment of choice usually when other approaches such as medication, in-office procedures or a transurethral reception of the prostate (TURP) are not appropriate or have failed to offer relief of urinary symptoms.

As you may be aware from previous discussions with your urologist there are several treatment choices available to treat urinary symptoms related to a big prostate but if you have a truly enormous prostate or massive BPH (benign prostatic hyperplasia) one of the most efficient ways to remove the bulk of the obstructing prostate tissue is with an enucleation procedure.

Prostatectomies can be performed in several ways, depending on the condition involved. Options include minimally invasive surgery performed with robotic assistance and traditional open surgery. Simple prostatectomy is usually performed as a minimally invasive procedure with robotic assistance. It’s not often done as an open procedure anymore. The main advantages of the robotic approach are better visualization of the urethra when separating it from the prostatic adenoma, less blood loss, and perhaps less pain.

Robotic Simple Prostatectomy involves removing the part of the prostate that’s blocking the flow of urine. It is performed through five small incisions in the abdomen. The location of incisions will depend on what technique your doctor uses. If you also have a hernia or bladder problem, your doctor may use the surgery as an opportunity to repair it.
After the surgery, a catheter will be left in the bladder for approximately one week to allow the bladder to heal, and a drain will be left in the abdomen to be removed just prior to hospital discharge. This is not a particularly painful operation, and patients leave the hospital typically after one or two days. Near complete recovery occurs in approximately two weeks.

Reference:
– https://www.dcurology.net/procedures/robotic-simple-prostatectomy.php
– https://prostates.com.au/what-you-need-to-know-before-a-robotic-simple-prostatectomy/
– https://www.mayoclinic.org/tests-procedures/prostatectomy/about/pac-20385198