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Long-term recurrence risk depends on stage, Gleason grade and margins.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Secondary procedures such as bladder neck stricture treatment, incontinence surgery or hernia repair; excludes adjuvant radiotherapy."},"scars":"Five or six small port scars, under 1.5 cm each; one slightly larger near the navel.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks not counted."},"stages":[{"code":"surgery","label":"Radical prostatectomy (prostate and seminal vesicles removal, with pelvic lymph node dissection when indicated)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically a single-stage operation."},"success":{"metric":"Biochemical recurrence-free survival (undetectable PSA) after radical prostatectomy","value":85,"unit":"percent","horizon":"5 years","population":"Adults with localized, low-to-intermediate risk prostate cancer","evidence_status":"limited"},"techniques":[{"name":"Robot-assisted laparoscopic radical prostatectomy","suits_whom":"Most patients with localized prostate cancer where robotic expertise is available.","recovery":"Usually 1-2 nights in hospital, catheter about 1-2 weeks, return to desk work around 2-3 weeks."},{"name":"Open retropubic radical prostatectomy","suits_whom":"Patients where open approach is preferred, such as complex anatomy, prior surgery or limited robotic access.","recovery":"Usually 2-3 nights in hospital, catheter about 1-2 weeks, return to desk work around 3-6 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for radical prostatectomy (robotic or open), longer with extended lymph node dissection."},"initial_assessment_documents":["Prostate biopsy pathology report with Gleason score","Prostate MRI report and images","Recent PSA results with dates","Bone scan or PSMA PET-CT report (if available)","Urologist notes with digital rectal exam findings","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days to cover hospital nights and catheter removal. PSA checks done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Choose a surgeon who performs a high number of prostatectomies","scope":"procedure","source":{"url":"https://www.mdanderson.org/cancerwise/prostatectomy--what-to-expect-with-this-prostate-cancer-surgery-treatment.h00-159460056.html","host":"mdanderson.org","quote":"I recommend finding a surgeon who you're comfortable discussing all the potential side effects with, who performs a high number of prostatectomies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask what facilities and back-up the clinic has if something goes wrong","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What facilities do they have and what back up do they have if something goes wrong?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether follow-up care is at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Make sure you understand the potential complications and side effects of your surgery","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure you understand any potential complications and side effects that could arise from your surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgery sold as a package deal combined with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding in your pee","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"Heavy bleeding in your pee (hematuria)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"No pee flow into your catheter bag","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"No pee flow into your catheter bag","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Discolored drainage from your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"Discolored drainage from your incisions","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the follow-up details written on the discharge summary","document":"discharge summary","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-radical-prostatectomy-lynher-ward--3986/","host":"plymouthhospitals.nhs.uk","quote":"Details of your follow up appointment are included on your discharge summary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer is early, low-risk and has no symptoms","name":"Active surveillance","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"It’s best for early, low-risk cancer with no symptoms.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"robot-assisted-laparoscopic","name":"Robot-assisted laparoscopic radical prostatectomy","how_it_works":{"text":"A surgeon uses a robot to help perform the procedure","source":{"url":"https://www.kingstonandrichmond.nhs.uk/patients-and-families/patient-leaflets/prostate-removal-prostatectomy-robot","host":"kingstonandrichmond.nhs.uk","quote":"Robot-assisted surgery means the surgeon uses the robot to help perform the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"open-retropubic-radical","name":"Open retropubic radical prostatectomy","how_it_works":{"text":"The surgeon makes one cut in the lower abdomen","source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"During an open simple prostatectomy, they make one cut (incision) in your lower abdomen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":8,"max":8,"unit":"weeks","label":"8 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