Robotic surgery in urology

For the treatment of cancer appearing in the above organs of the urinary system, but also for the benign enlargement of the prostate, there is now the most advanced robotic system Da Vinci Xi (Intuitive Surgical Systems).

“Using the robotic system, the minimally invasive treatment of prostate diseases (robotic radical prostatectomy for prostate cancer and robotic adenomatectomy for benign prostatic enlargement), kidney tumors (robotic radical and partial nephrectomy), tumors of the bladder (robotic radical cystectomy) and tumors of the pelvis and ureters (robotic radical nephroureterectomy)”, says Dr. Nikolaos A. Kostakopoulos, MD, PhD, FEBU, Urologist-Andrologist Surgeon, Doctor of the University of Athens, Diploma of the European College Urologist, Curator of the 1st Urological Clinic Metropolitan General.

Robotic radical prostatectomy
With the use of the Da Vinci Xi robotic system, the minimally invasive treatment of prostate cancer is carried out at the 1st Urology Clinic of the Metropolitan General. The small incisions and precision in surgical technique offered by robot-assisted surgery minimize post-operative pain and blood loss, while increasing the likelihood of faster return of continence and erectile function, compared to open surgery. It also treats the disease oncologically with the same success as the older incisional techniques.

Robotic adenomatectomy of the prostate
For the treatment of benign prostatic enlargement, the First Urology Clinic of Metropolitan General has another important alternative option, which is the robotic removal of the prostate adenoma. This technique is used in very large prostates, which cannot be treated with less invasive techniques such as transurethral prostatectomy (TURis) or the Rezum technique. In the past, the only solution for large prostates (>80 grams) was surgical removal through an incision. Now with much smaller holes, the adenoma is removed robotically, with significantly less blood loss and with faster removal of the catheter after surgery.

Robotic partial/radical nephrectomy and robotic radical nephroureterectomy
Similarly, with the use of the robotic system, the treatment of kidney and ureter tumors is now facilitated. With small incisions and a better 3D image, pain and blood loss for the patient is minimized, without affecting the safety and success of the surgery.

Robotic radical cystectomy
“The main advantage of robotic radical cystectomy for cancer is that the entire procedure is performed inside the patient through small incisions, resulting in faster resumption of bowel function and usually fewer complications. With the help of the robotic system, we are given the possibility of creating a heterotopic urostomy or orthotopic creation of a neocyst from the intestine in special cases”, concludes Dr. Costakopoulos.

Written by:

Dr. Nikolaos A. Costakopoulos, MD, PhD, FEBU, Surgeon Urologist – Andrologist, Doctor of the University of Athens, Graduate of the European College of Urologists, Curator of the 1st Urology Clinic Metropolitan General

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