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 (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 (eg, 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 neighboring organs or structures
- Anesthesia-related problems
- The need to switch to traditional surgical methods (eg, traditional laparoscopic or open surgery)
What to Expect
Prior to Procedure
- Physical exam
- Blood tests and urine tests
- Electrocardiogram (ECG, EKG) —a test that records the electrical currents passing through the heart muscle
- Intravenous pyelogram (IVP) —a type of x-ray that creates images of the kidney, ureters and bladder by injecting contrast into the bloodstream
- Retrograde pyelogram—a type of x-ray that creates images of the ureters and kidneys by injecting contrast into the ureter through the bladder
- Kidneys, ureter, bladder (KUB) —an x-ray of the abdomen
- Ultrasound —a test that uses sound waves to visualize the inside of the body
- CT scan —a type of x-ray that uses a computer to create images of structures inside the body
- MRI scan —a test that uses powerful magnets and radiowaves to create images of structures inside the body
- Cystoscopy —a lighted tube equipped with a camera used to visualize the inside of the urethra and bladder
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (eg, aspirin )
- Blood thinners such as clopidogrel (Plavix) or warfarin (Coumadin)
- 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 medicines. Talk to your doctor about which ones.
- While resting, keep your legs elevated. Move your legs to avoid blood clots.
- Avoid taking a bath during the first two weeks after surgery.
- 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 (eg, daily walks) soon. This will promote healing.
- Limit certain activities (eg, driving, working, 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
American Urological Association http://www.urologyhealth.org/
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov/
Canadian Urological Association http://www.cua.org/
The Kidney Foundation of Canada http://www.kidney.ab.ca/
Bladder cancer—robot-assisted laparoscopic radical or simple cystectomy. University of Chicago website. Available at: http://www.ucurology.org/homeThumbs/laproscopicB6.htm . Accessed July 8, 2006.
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.
Griffith HW. Complete Guide to Symptoms, Illness & Surgery . New York, NY: Putnam Publishing Group; 2000.
Megaureter. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site1288/mainpageS1288P0.html . Accessed July 8, 2006.
Minimally invasive surgery—laparoscopic surgery. Emory Healthcare website. Available at: http://www.emoryhealthcare.org/departments/urology/sub%5Fmenu/laparoscopic.html . Accessed July 8, 2006.
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 8, 2006.
Robotic dismembered pyeloplasty. Cleveland Clinic website. Available at: http://cms.clevelandclinic.org/urology/body.cfm?id=221 . Accessed July 8, 2006.
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
- Review Date: 11/2012 -
- Update Date: 11/30/2012 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Copyright © EBSCO Publishing
All rights reserved.