At Tirtham Surgical Hospital on Science City Road, laparoscopic radical prostatectomy in Ahmedabad is offered as part of a considered prostate-cancer pathway with a urologist and cancer specialists involved in the decision, and Dr. Alpesh Patel (MS) providing the minimally invasive surgical option. Below is an honest guide to the alternatives, the operation, and the side effects that matter most because you deserve the full picture before you decide.
First, is surgery even the right choice?
This is where a good page starts not with the operation, but with your options. For cancer confined to the prostate, there are several valid paths, and the best one depends on your cancer's risk level, your age and general health, and what matters to you. This decision is made with a Radical Prostatectomy Doctor Ahmedabad patients can trust, ideally alongside a urologist and cancer team.
| Option | What it involves | Often suits… |
| Active surveillance | Careful monitoring (PSA, scans, biopsies), treating only if it progresses | Low-risk, slow-growing cancer, especially in older men |
| Radical prostatectomy (surgery) | Removing the whole prostate this page's focus | Localized cancer, generally fitter men with a longer life expectancy |
| Radiotherapy | External beam radiation or brachytherapy (seeds), sometimes with hormones | Many localized cancers; men who prefer to avoid surgery |
| Hormone therapy | Lowers testosterone to slow the cancer | Usually alongside radiation, or for more advanced disease |
Radical vs simple prostatectomy two different operations
These sound similar but treat completely different problems it's worth being clear.
| Radical prostatectomy | Simple prostatectomy | |
| Treats | Prostate cancer | Benign enlargement (BPH) |
| What's removed | The whole prostate + seminal vesicles (± lymph nodes) | Only the enlarged inner part blocking urine flow |
| Goal | Remove the cancer | Relieve urinary obstruction |
| When used | Localized prostate cancer | Very large benign glands not suited to TURP |
So Laparoscopic Simple Prostatectomy in Ahmedabad is not cancer surgery, it's for men whose benign prostate is so enlarged it obstructs urine and is too big for the usual keyhole "rebore" (TURP). For general prostate-enlargement care, see our prostate surgery page. The rest of this page focuses on the radical (cancer) operation.
Who is radical prostatectomy suitable for?
Radical prostatectomy is generally best suited to men with cancer confined to the prostate, who are otherwise fit, and who have a life expectancy long enough to benefit (broadly, 10+ years). It's less commonly the first choice for very low-risk cancers (where surveillance may be wiser) or where the cancer has clearly spread beyond the prostate (where other treatments lead). The decision weighs your cancer's grade and stage, your PSA, your age and health, and your own priorities around the side effects which is why proper staging and a full discussion come first.
The operation and nerve-sparing
In laparoscopic radical prostatectomy, a Radical Prostatectomy Surgeon Ahmedabad patients rely on works through a few small (~0.5–1 cm) incisions under general anaesthesia, using a camera and fine instruments to remove the whole prostate and seminal vesicles, sometimes with nearby lymph nodes, then reconnects the bladder to the urethra. A catheter stays in for a week or two while that joint heals. Compared with open surgery, the keyhole approach usually means less blood loss, less pain and a shorter stay.
Nerve-sparing is the crucial refinement: the erection nerves run right alongside the prostate, and where the cancer allows, the surgeon preserves them to protect erectile function. It isn't always possible if the cancer is close to or involves the nerves, removing the cancer safely has to come first. Whether nerve-sparing is feasible in your case is discussed beforehand.
The honest part: continence and erections
No responsible page should gloss over this. Removing the prostate can affect urinary control and erections, because both depend on structures right next to the prostate. The reassuring truth is that most men recover well, especially with nerve-sparing and pelvic-floor therapy but you should know the realistic picture.
| Concern | What to realistically expect |
| Urinary control | Leakage is common at first; most men steadily improve, with a large majority (around 85–95%) pad-free by about 12 months. Pelvic-floor (Kegel) exercises speed recovery. |
| Erections | Often affected initially; recovery depends heavily on nerve-sparing, your age and your erectile function before surgery. With bilateral nerve-sparing, a meaningful proportion regain erections, and medicines/rehabilitation can help. |
| Ejaculation | Removing the prostate ends normal ejaculation (a "dry orgasm"); orgasm sensation usually remains. Fertility is affected, so discuss sperm banking beforehand if relevant. |
Being told this upfront isn't discouragement; it's what lets you make a real choice and plan your recovery (pelvic-floor therapy, and erectile rehabilitation where appropriate).
Recovery and PSA follow-up
Most men go home within a couple of days and have the catheter removed after about one to two weeks. Light activity resumes within a couple of weeks, with heavy lifting and strenuous exercise avoided for several weeks. The most important part of follow-up is the PSA blood test: after the prostate is removed, PSA should fall to very low levels, and it's monitored regularly. A sustained low PSA means the cancer is controlled, while a rise prompts a timely conversation about further treatment. Your pathology results (from the removed prostate) also guide whether any additional therapy is advised.
What laparoscopic radical prostatectomy costs in Ahmedabad
Cost depends on the approach (laparoscopic or robotic), your hospital stay, and any additional treatment. As a guide, radical prostatectomy broadly runs around ₹1,50,000–₹4,00,000 in Indian private hospitals, with robotic-assisted surgery at the higher end and standard laparoscopic lower. These are general market figures, not a fixed Tirtham price; your exact cost depends on your case and prostate-cancer surgery is generally covered by cashless mediclaim as a medically necessary treatment.
We'll give you a clear, case-specific estimate once your reports and staging are reviewed. Cashless mediclaim is available, and the Tirtham Health Card covers consultations and reports. Share your reports on WhatsApp or contact the team to discuss.
Meet your prostatectomy Surgery specialist Dr. Alpesh Patel
Cancer surgery calls for precision and honesty removing the disease while protecting quality of life, and being straight about the trade-offs. Dr. Alpesh Patel (MS) brings 18+ years of surgical practice and 22,000+ operations, offering laparoscopic prostatectomy as part of a considered prostate-cancer pathway.
As a Laparoscopic Prostatectomy Specialist Ahmedabad patients consult and a Radical Prostatectomy Specialist Ahmedabad working within a proper cancer pathway his approach is honest first: make sure surgery is genuinely the right choice for you (alongside surveillance and radiotherapy options and urology/oncology input), pursue nerve-sparing where the cancer allows, and set realistic expectations about continence and erections before you decide. → More about Dr. Alpesh Patel
Why patients choose Tirtham
Reasons patients choose this Laparoscopic Radical Prostatectomy Hospital Ahmedabad:
- Options first, not surgery first — you'll hear about surveillance and radiotherapy too, so the decision is truly yours.
- Honest about side effects — continence and erections discussed openly, with nerve-sparing and pelvic-floor support.
- Minimally invasive surgery — keyhole prostatectomy with less blood loss and a shorter stay than open surgery.
- Careful follow-up — PSA monitoring and pathology-guided next steps.
- Cashless mediclaim and a private, dignified recovery care that respects a sensitive diagnosis.
Frequently asked questions
Is surgery the only treatment for prostate cancer?+
No. For cancer confined to the prostate, the main options are active surveillance (careful monitoring for low-risk, slow-growing cancer), radical prostatectomy (surgery), and radiotherapy, sometimes with hormone therapy. Surgery and radiotherapy have comparable cancer outcomes for many localized cancers. The best choice depends on your cancer's risk, your age and health, and your priorities — decided with a urologist and cancer team.
What's the difference between radical and simple prostatectomy?+
Radical prostatectomy removes the whole prostate to treat prostate cancer. Simple prostatectomy removes only the enlarged inner part of a benign (non-cancerous) prostate to relieve urinary obstruction, used for very large glands unsuitable for TURP. They treat completely different conditions — cancer versus benign enlargement — so it's important not to confuse the two.
Will I be incontinent after prostate removal?+
Some urinary leakage is common in the early weeks, but most men recover well: a large majority (around 85–95%) are pad-free by about 12 months, and many much sooner. Pelvic-floor (Kegel) exercises, started early, speed recovery. A small proportion have longer-lasting leakage. Your surgeon will explain your individual outlook and the rehabilitation that helps.
Will surgery affect my erections?+
It can — erectile function often dips after surgery, because the erection nerves run alongside the prostate. Recovery depends heavily on whether nerve-sparing was possible, your age, and your erectile function beforehand. With nerve-sparing, a meaningful proportion of men regain erections over months, and medicines and rehabilitation can help. This is discussed honestly before surgery.
What is nerve-sparing surgery?+
Nerve-sparing means the surgeon preserves the delicate nerves running alongside the prostate that control erections, wherever the cancer allows it to be done safely. It improves the chance of recovering erectile function. It isn't always possible — if the cancer is close to or involves those nerves, removing the cancer completely takes priority, which is discussed with you in advance.
What follow-up will I need after surgery?+
The key follow-up is the PSA blood test. After the prostate is removed, PSA should fall to very low levels and is monitored regularly — a sustained low reading means the cancer is controlled, while a rise prompts a timely discussion about further treatment. Your pathology results from the removed prostate also guide whether any additional therapy is recommended.
What does laparoscopic radical prostatectomy in Ahmedabad cost?+
As a general guide, radical prostatectomy in India runs roughly ₹1,50,000–₹4,00,000, with robotic-assisted surgery at the higher end and standard laparoscopic lower, varying with hospital stay and any additional treatment. Prostate-cancer surgery is usually covered by cashless mediclaim as a medically necessary procedure. Share your reports and staging for a case-specific estimate.
Who should I see for prostate cancer surgery — which Radical Prostatectomy Doctor Ahmedabad is right?+
Prostate-cancer decisions are best made with a urologist/uro-oncologist and a cancer team, and the surgery performed by an experienced surgeon. The right Radical Prostatectomy Doctor Ahmedabad will present all your options honestly (including non-surgical ones), stage your cancer properly, and be straight about the side effects. At Tirtham, Dr. Alpesh Patel (MS) offers the laparoscopic surgical option within that pathway.
Newly diagnosed? Let's talk through your options
A prostate-cancer diagnosis deserves time, clear information and no pressure. Share your PSA, biopsy and scan reports with us for a considered, honest opinion. We'll walk you through all your options (surveillance, surgery, radiotherapy), not just the operation, and explain what recovery and side effects realistically look like. Reach us on call or WhatsApp at +91-9428736360, or talk it through privately with SurgiMitra on +91-9974416665. Take the time you need most prostate cancers to allow room to decide carefully.
Next step
Plan your procedure
Share your reports on WhatsApp for a guided opinion, or visit us on Science City Road for an in-person examination.
