Robot-Assisted Urologic Procedures
|Male Genital and Urinary Systems|
|From top to bottom: Kidneys, ureter (tube), bladder, prostate, and urethra (the second tube).|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Prostatectomy —to remove part or all of a prostate gland found to contain prostate cancer
- Pyeloplasty —to repair an abnormality of the kidney and nearby ureter, which is a tube that leads from the kidney to the bladder
- Cystectomy —to remove all or part of the bladder to treat bladder cancer
- Nephrectomy —to remove all or part of the kidney because of kidney cancer, kidney stones, or kidney disease
- Ureteral reimplantation—to disconnect and reinsert the ureter from the bladder to keep urine from flowing backwards from the bladder into the kidneys
- Procedures requiring fine dissection and suturing such as reconnection of the ureter
- Less scarring
- Reduced recovery times
- Less risk of infection
- Less blood loss
- Reduced trauma to the body
- Shorter hospital stay
- Faster recovery
- Damage to nearby organs or structures
- Anesthesia-related problems
- The need to switch to traditional surgical methods such as traditional laparoscopic or open surgery
- Pre-existing heart or lung condition
- Increased age
- Excessive alcohol intake
- Use of certain medications
What to Expect
Prior to Procedure
- Physical exam
- Blood tests and urine tests
- Electrocardiogram (ECG, EKG)
- Intravenous pyelogram (IVP)
- Retrograde pyelogram
- Kidneys, ureter, bladder (KUB)
- CT scan
- MRI scan
Talk to your doctor about your medications. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medications
- Take antibiotics if instructed.
- Follow a special diet if instructed.
- Shower the night before using antibacterial soap if instructed.
- Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
Description of the Procedure
|Instrument Used in Procedure|
|Copyright © Nucleus Medical Media, Inc.|
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- For some procedures, a urine catheter will be left in place for a while. You will be instructed on how to care for this.
- If advised by your doctor, take antibiotics. You will need to avoid other medications. Talk to your doctor about which ones.
- While resting, keep your legs elevated. Move your legs to avoid blood clots.
- Wash the incisions with mild soap and water.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Drink plenty of fluids. This will help to clear your bladder.
- Avoid constipation . Eat a high fiber diet. Drink plenty of water. Use stool softeners if necessary.
- Avoid caffeinated beverages, alcohol, spicy foods, or other food or drink that might upset your stomach, intestines, or urinary tract.
- Resume normal activities soon. This will promote healing.
- Limit certain activities, such as driving, working, and doing strenuous exercise, until you have recovered.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Catheter stops draining or falls out—if you had a catheter placed
- Difficulty urinating
- Heavy bleeding or clots in the urine
- Pain, burning, urgency, or increased frequency of urination
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
- Abdominal swelling or pain
- Constipation, nausea, vomiting, or diarrhea
- Cough, shortness of breath, or chest pain
- Pain and/or swelling in your feet, calves, or legs
- Other worrisome symptoms
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
Urology Care Foundation http://www.urologyhealth.org
Canadian Urological Association http://www.cua.org
The Kidney Foundation of Canada http://www.kidney.ca
Bladder cancer—robot-assisted laparoscopic radical or simple cystectomy. University of Chicago website. Available at: http://www.ucurology.org/procedures/laparoscopic-surgery/%5F%5Fbladder-cancer--robot-assisted-laparoscopic-radical-or-simple-cystectomy . Accessed July 25, 2013.
Carmack AJ, Siddiq FM, Leveillee RJ. Novel use of da Vinci Robotic Surgical System: removal of seminal vesicle cyst in previously dissected pelvis. Urology . 2006;67(1):199.
Megaureter. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site1288/mainpageS1288P0.html . Accessed July 25, 2013.
Minimally invasive procedures. Emory Healthcare website. Available at: http://www.emoryhealthcare.org/urology/treatment-services/minimally-invasive.html . Accessed July 25, 2013.
Passerotti CC, Diamond DA, Borer JG, Eisner BH, Barrisford G, Nguyen HT. Robot-assisted laparoscopic ureteroureterostomy: description of technique. J Endourol . 2008;22:581-584.
Robot-assisted laparoscopic radical prostatectomy. Johns Hopkins Medicine website. Available at: http://urology.jhu.edu/MIS/roboticRRP.php . Accessed July 25, 2013.
Robotic dismembered pyeloplasty. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/robotic%5Fdismembered%5Fpyeloplasty/urology%5Foverview.aspx . Accessed July 25, 2013.
Takacs EB, Kobashi KC. Minimally invasive treatment of stress urinary incontinence and vaginal prolapse. Urologic Clinics of North America . 2008;35(3):467-476.
- Reviewer: Marcin Chwistek, MD; Michael Woods, MD
- Review Date: 07/2013 -
- Update Date: 05/11/2013 -