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Robotic surgery for urologic conditions

  • Urology as a surgical treats diseases of the male and female urinary tract and the male reproductive organs. The urinary tract, which begins within your kidneys, helps the body get rid of waste. Urologists treat patients of all ages who are dealing with problems affecting the bladder, kidneys and prostate gland.

    Many urologic problems can be treated without surgery. However, if prescription drugs or other medical therapies do not help, your doctor may recommend surgery.

    Some common urologic conditions that often require surgery include enlarged prostate (known as benign prostatic hyperplasia), prostatitis, prostate cancer, kidney obstructions (known as uretero-pelvic junction obstruction), urinary incontinence and diseases of the bladder.

  • Although every patient and every surgery is unique, robotic surgery offers important advantages for patients and their doctors. Because trained surgeons can operate with greater precision using robotic surgery, it is considered the best surgical option for many conditions.

    Experienced surgeons at United Hospital have used the da Vinci robot to perform more than 3,000 successful operations. Talk to your doctor to find out whether robotic surgery is right for you.

    Benefits include:

    • Shorter hospital stay
    • Less pain and pain medication
    • Decreased risk of infection
    • Minimal loss of blood
    • Smaller incisions and less scarring
    • Faster and easier recovery
    • Reduced risk for urinary incontinence and impotence
    • Increased potential for kidney preservation in certain cancer operations

    How robotic surgery compares

    The table below compares three surgical options for urologic conditions. The patient outcomes clearly demonstrate the benefits of choosing da Vinci robotic-assisted surgery.

    Outcomes da Vinci Open Laparoscopy

    Estimated blood loss

    Length of hospitalization

    Major complications

    Minor complications

    Urinary function at 12 months

    Sexual function after 12 months

    109 ml

    1.2 days


    1.7%

    3.7%

    97.4%


    86%

    1355 ml

    3 days


    6.7%

    12.6%

    93%


    71%

    380 ml

    2.5 days


    3.7%

    14.6%

    83%


    76%

    Data provided by Intuitive Surgical. For more information on this topic, please visit davincisurgery.com.

  • The procedure

    During robotic surgery, the surgeon sits at a console a few feet from the patient and another member of the surgical staff stands at the operating table with four, jointed robotic arms overhead. The surgeon makes several small incisions, and inserts a tiny camera and miniature surgical instruments through the openings. The camera provides a detailed view of the pelvic cavity on a color monitor, while the robotic arms work with great precision at the surgeon's command.

    The surgeon controls every delicate movement of the micro-instruments at all times. Using this advanced technology, surgeons can now handle a wider range of cases, and carry out even the most complex procedures with improved accuracy and very little damage to surrounding tissue.

    Robotic surgery vs. traditional open surgery

    For many years, doctors have successfully treated urologic conditions with surgery. Some problems required open abdominal surgery and others were managed with traditional laparoscopic surgery.

    Until recently open surgery was the only choice for complex procedures like prostatectomy (complete or partial removal of the prostate to treat prostate cancer or enlarged prostate), kidney obstruction and nephrectomy (surgical treatment for kidney cancer).

    Open surgery requires a large incision - through skin, muscles and sometimes bone - to reach organs and maneuver surgical instruments. There is usually considerable blood loss and patients spend several days in the hospital. It often takes many weeks to recover and side effects can vary.

    Robotic surgery is an advanced minimally invasive surgery that offers an innovative alternative to open surgery and traditional laparoscopic surgery. It allows surgeons to perform complex maneuvers with more precision and control than standard laparoscopy.

    The da Vinci Surgical System includes a special 3D camera that provides a magnified view 10 times greater than the power of the human eye. This improved vision and control can give surgeons a means to remove only cancerous tumors and leave the rest of the organ intact. Surgeons operate through tiny incisions, which results in less blood loss, shorter hospital stays and a quicker recovery.

    Today robotic surgery is dramatically reducing risks and improving the outcomes for patients who need surgery for a urologic condition. The da Vinci system uses the best techniques of open surgery and applies them to a robotic-assisted, minimally invasive approach. Even patients who were unable to have open surgery or traditional laparoscopic surgery for various reasons may be candidates for robotic surgery.

    If you have a urologic condition that requires surgery, ask your doctor if robotic surgery might be an option for you.