Minimal Surgery for Maximum Results
Robotic-assisted surgery for common urologic conditions
The first daVinci-assisted radical prostatectomy was performed in 2000. Since then, thousands of men have benefited from the minimally invasive technology to treat a variety of conditions. At Adena Health System, we offer robotic surgery for these urologic conditions:
Each year, more than 240,000 men in the U.S. are diagnosed with prostate cancer—about two-thirds of them are over age 65. Cancer of the prostate, a gland in the male reproductive system, often has no symptoms, but can lead to frequent urination and difficulty urinating. Talk with your physician about screenings including a PSA (prostate specific antigen) blood test and a digital rectal exam.
Because it is typically slow-growing and usually strikes later in life, men and their physicians sometimes take a “watchful waiting” approach. For younger men or those with more aggressive diagnoses, treatment options can include:
• Radiation therapy, including brachytherapy, where radioactive seeds are surgically implanted in the prostate
• Cryosurgery, where gases are used to freeze and destroy the prostate gland• hormone therapy, which aims to reduce your body’s androgens, including testosterone and dihydrotestosterone
• Prostatectomy, or surgical removal of the prostate
One of the newer treatment options for prostate cancer is robotic-assisted prostatectomy, a minimally invasive procedure for prostate removal. Compared to traditional open surgery, daVinci prostatectomy has shown faster returns to erectile function, a better chance for return of urinary continence within six months, and lower positive margin rates—meaning less cancer is left behind.
While only 73,500 cases of bladder cancer are newly diagnosed each year, the disease results in nearly 15,000 deaths annually in the U.S. Bladder cancer is typically signaled by blood in the urine, or frequent or painful urination.Your physician may recommend a procedure called cytoscopy, which uses a small, flexible fiber-optic device to get a good look at the inside of the bladder. Urinalysis, CT scans, and biopsy also can help with diagnosing bladder cancer.
Radiation and chemotherapy can help battle bladder cancer. Surgery to destroy the tumor or to remove part or all of the bladder also may be recommended. You may be a candidate for a breakthrough, minimally invasive da Vinci cystectomy, which incorporates the best open surgery techniques and the benefits of a robotic-assisted, minimally invasive approach, such as less pain and blood loss, an earlier return to bowel function, and less scarring than open surgery.
Most often kidney disorders involve trouble with ridding the body of toxins. Often a blockage somewhere in the urinary tract can cause chronic pain in the flank and can lead to permanent kidney damage if left untreated. A blockage in the ureter, the tubes that take urine from the kidney to the bladder, is most commonly found in children due to a congenital obstruction. However, in adults kidney stones and disorders that cause inflammation in the upper urinary tract can create the same condition.
Although kidney stones may resolve on their own, most other urinary obstructions need to be manually removed. Your physician may insert a ureteral stent, which allows the ureter to drain urine into the bladder, or a nephrostomy tube, which drains urine out of the body through your back. Your surgeon may be able to perform your procedure using the daVinci surgery system. The minimally invasive procedures offer the benefits of less pain and a shorter hospital stay.
The average person diagnosed with kidney cancer is 64, according to the American Cancer Society, and unfortunately the rate of occurrence in the U.S. has been slowly rising since the 1970s with more than 64,000 new cases each year. While often found early, kidney cancer can become quite advanced before it produces symptoms, such as pain in your side, unexplained weight loss, and blood in the urine.
As with many types of cancer, depending on the stage of your disease, treatment options include radiation therapy, chemotherapy, surgery, and immunotherapy—or a combination of these treatments. Cryotherapy, which uses extreme temperatures to freeze the cancerous tissue, is also an option but has a higher rate of recurrence than other surgical options. The primary treatment is to remove part or all of the affected kidney, a procedure called nephrectomy or a partial nephrectomy. Both of these surgeries can be performed using the daVinci surgical system. The procedure has excellent clinical outcomes and cancer control. And because of the precision the robotic system allows, the surgeon can preserve more of the healthy kidney tissue, which helps prevent future kidney disease and dialysis.
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1510 Columbus Ave., Suite 310 Washington Court House, OH 43160