Robotic surgery

Robotic surgery

During his two year fellowship, Dr Arianayagam spent a significant amount of time learning from Dr Murugesan Manoharan, Professor of Urology and Program Director at the Department of Urology of the University of Miami Miller School of Medicine.

With Dr Manohran as a mentor and teacher, sufficient experience was gained to make Robotic radical prostatectomy the preferred surgical method of treatment for prostate cancer. Dr Arianayagam performs robotic radical prostatectomy at both Macquarie University Hospital and Nepean Public Hospital. Since his return to Australia Dr Arianayagam has performed over 250 Robotic cases. He is a proctor for Device Technologies, who supply the Da Vinci Robotic System in Australia. Being a proctor means Dr Arianayagam is qualified to teach other surgeons to use this technique.

Robotic prostatectomy has benefits over the traditional open operation, which include lower blood loss, reduced hospital stay as well as improved urinary control and erectile function. These improved outcomes have been proven in scientific studies.

Nepean Hospital runs the only public robotic programme in New South Wales and this technology is available to any public patient, irrespective of where they live. If you wish to have a robotic prostatectomy as a public patient please make an appointment to be seen at any of Dr Arianayagam’s consulting locations. Nepean hospital is also one of the most popular urology training jobs in Australia due to the robotic program and the excellent teaching and significant case load that is provided.

Private patients may have their robotic surgery at Macquarie University hospital.

Aside from robotic prostatectomy, Dr Arianayagam has also trained in robotic surgery for removal of the bladder for cancer (radical cystectomy). In selected patients this may also hasten recovery after surgery and may aid in preservation of erectile function. Dr Arianayagam also performs robotic kidney surgery where part of the kidney (partial nephrectomy) or all of the kidney is removed (radical nephrectomy).

You can read about patient experiences with robotic surgery at

The figure shows the traditional prostatectomy incision compared to the incisions used in robotic surgery which are much smaller and allow more rapid recovery and discharge from hospital on day one in most cases



Procedures performed:

  1. Robotic prostatectomy (removal of the cancerous prostate)
  2. Robotic nephrectomy (removal of entire kidney)
  3. Robotic partial nephrectomy (removal of part of the kidney)
  4. Robotic cystectomy (removal of the bladder)

Further information robotic surgery can be found at


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