A doctor guides robotic arms to do urologic surgery. This is done through several tiny keyhole incisions.
Male Genital and Urinary Systems
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Examples of urologic surgeries that have been successfully done using this technique include:
Compared to more traditional procedures, robotic-assisted surgery may result in:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Some factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure.
Depending on the reason for your surgery, your doctor may do the following:
Leading up to the procedure:
General anesthesia will be used. It will block any pain and keep you asleep through the surgery.
Several small keyhole incisions will be made in the abdomen. Carbon dioxide gas will be passed into the area. This will make it easier for internal structures to be viewed. A small camera, called an endoscope will be passed through one of the incisions. The camera will light, magnify, and project the structures onto a video screen. The camera will be attached to one of the robotic arms. The other arms will hold instruments for grasping, cutting, dissecting, and suturing; for example:
Instrument Used in Procedure
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While sitting at a console near the operating table, the doctor will use lenses to look at a magnified 3D image of the inside of the body. Another doctor will stay by the table to adjust the camera and tools. The robotic arms and tools will be guided with joystick-like controls and foot pedals. After the tools are removed, sutures or staples will be used to close the surgical area.
About 2-4 hours, depending on the procedure
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications. You may also feel discomfort from the gas used during the procedure. This can last up to 3 days.
About 1-2 days, depending on the procedure
When you return home, do the following to help ensure a smooth recovery:
Total recovery usually takes about 3-6 weeks.
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
If you think you have an emergency, call for medical help right away.
National Kidney and Urologic Diseases Information Clearinghouse
Urology Care Foundation
Canadian Urological Association
The Kidney Foundation of Canada
Bladder cancer—robot-assisted laparoscopic radical or simple cystectomy. University of Chicago website. Available at: http://www.ucurology.org/procedures/laparoscopic-surgery/__bladder-cancer--robot-assisted-laparoscopic-radical-or-simple-cystectomy. Accessed July 25, 2013.
Carmack AJ, Siddiq FM, et al. Novel use of da Vinci Robotic Surgical System: Removal of seminal vesicle cyst in previously dissected pelvis. Urology. 2006;67(1):199.
Megaureter. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/conditions-and-treatments/conditions/megaureter/overview. 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, et al. 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/urology-kidney/treatments-procedures/robotic-dismembered-pyeloplasty. 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.
Last reviewed February 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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