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Radical Prostatectomy and Other da Vinci Urological Procedures

Return Home Same Day after Urological Surgery

The male urinary system is composed of the kidneys, bladder, urethra, ureters and male reproductive organs. The kidneys are responsible for removing wastes and excess fluid from the bloodstream and releasing these substances as urine. Urine then flows through the ureters to the bladder, from which it is emptied via the urethra. Diseases of the urinary system can be life-threatening and debilitating.

Fortunately, in diseases of the urinary system necessitating surgery, miVIP surgeons are able to offer a variety of minimally invasive treatments with the highly advanced da Vinci Surgery System. The da Vinci technologies function as extra pairs of hands that allow surgeons to perform their work more accurately and thoroughly while minimizing trauma to the patient.

Common Urological Procedures Performed By miVIP

Surgeons at miVIP routinely perform both robotic and non-robotic urological procedures. Common non-robotic procedures include the following:

  • Cystoscopy, in which a scope is used to view the lining inside the bladder and urethra
  • Ureteroscopy, in which a scope is used to view the inside of the ureter, often in order to find and remove kidney stones
  • Stent replacements, which involve replacing a mesh tube that has been placed in the urethra or ureter to help urine or kidney stones pass
  • Prostate biopsies, which are samplings of prostate tissue that will be tested for the presence of malignant cells
  • Sling procedures, which involve the placement of a mesh sling to support urinary system structures and treat urinary incontinence
Common robotic procedures performed by miVIP surgeons include the radical prostatectomy, which is a delicate and minimally invasive means of removing the prostate that is only performed at miVIP.

Conditions

Urological conditions that often necessitate surgical intervention include the following:

  • Prostate Occlusion: Bladder blockage due to a benign growth in the prostate.
  • Kidney Stones: Small deposits formed in the kidneys made of acid salts and minerals, kidney stones affect all parts of the urinary tract.
  • Elevated PSA: An elevated reading on a PSA test may be a sign of prostate cancer.
  • Abnormal Digital Rectal Exam (abnormal DRE): Abnormal exams may be a sign of prostate cancer, colorectal cancer or a blocked rectum.
  • Prostate Cancer: Cancer of the prostate that affects 80% of men over the age of 80.
  • Stress Urinary Incontinence: Urine leakage that occurs after sudden movement or activity including sneezing, jumping or running.

Symptoms

The following symptoms could be related to one or more of the conditions listed above:

  • Changes in urination, including incontinence, pain, difficulty starting or stopping, interrupted or weak flow
  • Blood in urine or semen
  • Pain in the lower back or side
  • Lump in the abdominal area
  • Loss of appetite and/or unexplained weight loss

Treatment Options

There are a variety of treatment options for prostate cancer and other conditions of the urological system, including surgical and non-surgical options. The surgical options ranging from the highly invasive open technique to minimally invasive robotic procedures (offered at miVIP) as well as cryosurgery, in which surgeons use ultrasound-guided needles to freeze and kill malignant cells with liquid nitrogen. Non-surgical options for treating prostate cancer include watchful waiting, hormonal therapy and radiation therapy.