Robotic Radical Prostatectomy 
In Glens Falls, NY

Radical Robotic Prostatectomy

Radical robotic prostatectomy is a minimally invasive surgery to remove the entire prostate gland, typically performed as treatment for localized prostate cancer. Using the da Vinci robotic system, Dr. Friedman is able to perform this procedure with enhanced precision and visualization, minimizing recovery time and reducing complications compared to traditional open surgery.

We are proud to offer this advanced surgical option to patients in Glens Falls, Saratoga Springs, the Capital Region, and the Adirondacks—bringing expert cancer care closer to home.

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When Is Robotic Prostatectomy Recommended?

This surgery may be recommended for men with:

• Localized or locally advanced prostate cancer

• Cancer confined to the prostate on imaging or biopsy

• Good overall health and life expectancy to benefit from surgery

Dr. Friedman will carefully review your PSA levels, MRI findings, and biopsy results with you to ensure this approach is right for your situation.

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Nerve-Sparing Technique

Preservation of the neurovascular bundles—the nerves responsible for erections—is an important part of surgical planning.

When possible, Dr. Friedman performs nerve-sparing surgery based on:

• MRI findings (tumor location and extent)

• Biopsy results (grade and spread)

• Intraoperative assessment

If the cancer appears close to the nerves, we may need to remove one or both bundles to achieve complete cancer removal. This will always be discussed with you beforehand, and your autonomy and preferences are respected in the decision-making process.

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The Day of Surgery and Hospital Stay

• Surgery is performed under general anesthesia using small incisions in the abdomen.

• Most patients are up and walking the same day.

• About half of patients go home the same day, while others may stay overnight depending on how the surgery and immediate recovery go.

• A longer hospital stay may be needed in rare cases involving bleeding, medical complexity, or post-operative concerns.

 

Catheter Use After Surgery

A urinary catheter (Foley) is placed at the end of the surgery to allow the bladder to heal where it connects to the urethra.

• The catheter remains in place for 7–14 days, depending on the healing process and surgeon discretion.

• You’ll receive detailed instructions on catheter care, activity restrictions, and signs to watch for.

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Kegel Exercises and Recovery of Urinary Control

After surgery, some urinary leakage is common. This is due to temporary weakness of the urinary sphincter and pelvic floor muscles.

To help with recovery:

• Dr. Friedman will teach you Kegel exercises to strengthen the pelvic muscles

• We encourage you to begin practicing before surgery, and to continue after the catheter is removed

• Most men see significant improvement in urinary control within weeks to months

• Full continence recovery varies, but most men improve over 3–12 months

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Sexual Function After Surgery

Sexual recovery depends on several factors:

• Age and baseline function

• Whether nerve-sparing was performed

• Use of erectile aids or medications during recovery

Even with nerve-sparing surgery, it’s common to experience difficulty with erections initially. Many men see improvement over time, with the help of medications or other therapies. Dr. Friedman will discuss a tailored plan for erectile rehabilitation if needed.

 

Risks and Side Effects

While robotic prostatectomy is generally safe, all surgeries carry potential risks. Common side effects include:

• Urinary incontinence – usually improves with time; mild leakage may persist in a small percentage

• Erectile dysfunction – varies based on nerve involvement; gradual recovery is possible

• Bleeding or infection – uncommon

• Hernia or scarring – rare

• Clot formation (DVT) – rare but monitored and prevented with early mobilization

Dr. Friedman takes the time to explain these risks before surgery and works closely with you during recovery.

 

Recovery Timeline

• Days 0–2: Walking encouraged; catheter in place; pain managed with oral medications

• 1 week: Light activity resumed; catheter may still be in

• 2–4 weeks: Catheter typically removed; begin Kegels and pelvic rehab

• 4–6 weeks: Most return to work and light exercise

• 3–12 months: Ongoing improvement in urinary and sexual function

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Comprehensive, Localized Cancer Care

Choosing surgery for prostate cancer is a major decision. Dr. Friedman takes an educational approach, ensuring that every patient understands their condition, treatment options, and recovery process. You’ll review your imaging and biopsy together, and decisions will be made with your goals and values in mind.

We are proud to offer radical robotic prostatectomy to patients throughout Glens Falls, Saratoga, and the surrounding Adirondack and Capital regions, helping men access high-quality cancer care without needing to travel far from home.

To schedule a consultation or learn more about your prostate cancer treatment options, contact us today.