Urology

Urology is a discipline dealing with the urinary system of females, and both the urinary and genital system of males.In the past, surgeons made large incisions in skin and muscle so that they could directly see and work on the area of concern. This is called open surgery.

Today doctors still perform open surgery, but they can also perform many urologic procedures using minimally invasive laparoscopic or robotic-assisted surgery, possibly with da Vinci technology.

Robotic Prostatectomy: A robotic prostatectomy, or robotic-assisted radical prostatectomy, has demonstrated incredible success in nerve sparing, or erectile function preserving, with a reduction in blood loss and scaring. Formerly performed using open or laparoscopic techniques, the standard approach for all prostatectomies is now robotics.

Robotic Cystectomy with Intracorporeal Diversions: Although a lengthy and complex procedure, a robotic cystectomy with intracorporeal diversions allows for fewer patient complications and inconveniences than the extracorporeal diversions. After the bladder is removed, various intracorporal diversions, such as neobladders and ileal conduits, are implemented using robotics to ensure the successful flow of urine. Patients with this procedure have shown less blood loss, lowered transfusion rate, decreased hospital stay, and reduced pain compared to traditional open surgery.

Robotic Partial Nephrectomy: Performing a robotic partial and/or total nephrectomy has shown significantly shorter operating times, blood loss and length of hospital stays compared to the traditional, open access. Some high specialized and trained roboticists can also offer retroperitoneal robotic access since the kidneys are located in the retroperitoneal space behind the abdominal cavity, this approach offers a safer, more direct route. Open nephrectomies involving partial rib dissections are no longer required now that robotic and laparoscopic techniques are the standard method.

Procedures most frequently performed at our hospitals include the following:

Robotic Prostatectomy
Robotic Cystectomy with Intracorporeal Diversions
Robotic Partial Nephrectomy
Overactive bladder
Urinary incontinence
Urinary tract infections
Erectile dysfunction
Male infertility and andrology
Urinary tract stones
Kidney diseases
Renal failure
Urologic cancers (Cancers of the bladder, kidney, prostate, testicles)
Prostate cancer
Benign prostate hypertrophy (BPH)
Pelvic organ prolapse
Pediatric urology
Renal transplantation
Adrenal diseases and masses
Aging male