Minimally Invasive Procedures for Kidney Cancer & Prostate Cancer

Robotic Surgery
Robotic Surgery
Robotic Surgery

Robotic Surgery

Hear testimonials from real patients who've experienced the benefits of the da Vinci Robotic Surgery system having undergone urologic procedures including Nephrectomies and Prostatectomies...

The da Vinci robitic surgery system is possibly the most effective, least invasive option for urological treatments avilable today. It offers superior visual capabilities including applied 3D technology, meticulous dissection, precise suturing, and steady traction of the body's anatomy. The benefits include less pain, less blood loss, fewer transfusions, less risk of infection, less scarring, and shorter hospital stays and recovery periods.


The precision and degrees of freedom with urologic, laparoscopic robotic surgery far suprasses the nimble ability of fingers. The robot provides more degrees of freedom with the hands while offering a third 'hand' in the process. The visual 3D affects provides an image with a resolution not available to the surgeon prior. Below you'll see just how precise and agile the robotic 'hands' really are.

 

 

The use of every robotic facility is shared amongst a myriad physicians for use in other procedures, so the availability of the robotic unit is limited. If you feel you may qualify for robotic surgery, please call immediately to ensure availability. Waiting periods may vary from month to month. March, for example, is an especially busy month for urological procedures. 


 

An entire team of skilled nurses and physicians will be performing and overseeing the robotic procedure the day of your surgery. The team consists of 4 to 5. There will be one to two surgical assistants, an RN, and a scrub nurse, your urologist (Dr. Mark Thomas) as well as any other physicians who may be looking to oversee the procedure as apart of their training for for the benefit of the primary physician. 
 

 

 

 

 

Robotic surgery is the latest minimally invasive method used in a variety of urological procedures. AMIU performs surgeries for the following:

  • Prostate Cancer (Robotic Prostatectomy: enucleation for BPH and radical prostate cancer)
  • Bladder Cancer (Robotic Radical Cystectomy (robotic cystectomy, mini incision, open, and urinary diversion)
  • Robotic Lymph Node Dissection
  • Kidney Cancer (Robotic Partial or Radical Nephrectomy, Nephrourecterectomy)
  • Uretero-Pelvic Junction Obstruction (Robotic Pyeloplasty)
  • Adrenal Cancer (Robotic Adrenalectomy)
  • Ureteral Trauma (Robotic Ureteroneocystostomy)

The benefits of each robotic surgery include reduced blood loss, smaller incisions/scaring, and a faster healing period. The key to benefiting from robotic surgery is early detection. If you are over the age of 40 and have not begun your tests for prostate and other cancers, please schedule an appointment with us immediately. Even if you are not cancerous at this time, we can benchmark the pertinent cancer markers in your physique, organ size, and blood. With this levels know, it is easier to identify unhealthy rises in any of those indicators.

What is a Robotic Prostatectomy?

The surgical removal of the prostate gland through the use of the da Vinci Robotic Surgical System.

How is a Robotic Prostatectomy done?

The surgeon makes several small incisions about the size of a dime in your abdomen.  Small tubes are placed inside the incisions to keep them open while a tiny camera (laparoscope) and small robotic arms are inserted.  The surgeon manipulates the laparoscope and robotic arms to remove the prostate gland.

Why is a Robotic Prostatectomy better?

  • Incisions are much smaller than open surgery and the surgeon has very precise control by using the small robotic arms and tools.
  • Comprehensive cancer control is enhanced because the robotic tools the surgeon uses affords a much clearer and magnified view of the prostate.
  • Because of the small incisions and nerve sparing techniques, the patient is able to return to his normal activities more quickly.
  • Less risk of blood loss which translates to quicker healing.
  • Minimal pain.  Most patients have little, if any, pain after the surgery.
  • Better bladder control through the nerve sparing techniques.
  • Quicker return to sexual activity.  Because of the nerve sparing techniques, men experience less erectile dysfunction.

What is the da Vinci Robotic Surgical System?

The da Vinci robot has 3 major components:  the camera which allows the surgeon to view the area being operated on; the robotic arms and instruments the surgeon uses to operate with 12 times magnification; and a unique worktable where the physician views the surgical site and operates the robotic arms.  The robot serves as an extension of the surgeon's hands and eliminates the need for large incisions that are necessary in traditional open surgery.  The camera has a 3D image and the da Vinci system has software to help Dr. Thomas do more precise surgery.

Will I feel any pain?

An anesthesiologist will administer medication that will allow you to sleep throughout the entire procedure and experience no pain. The post-operative pain is generally minimal.  In addition, numbing medicine is injected locally by the tubes for the robotic surgery in order to eliminate as much pain as possible during the post-operative period.

How long will the procedure take?

The length of surgery has varying factors, the main one being your height and weight. Generally, it will take several hours.

What happens when the procedure is over?

After the surgeon completes the procedure and removes the camera and robotic tools, Dr. Thomas will close the small incisions where the tubes were placed.  Band-aids are applied.  You are then moved to a recovery area and monitored until you awaken and your blood pressure, breathing and pulse are stable.

How long is the hospital stay?

Most patients are released from the hospital within 48 hours.

Are there any risks to this procedure?

As with all surgeries, there are risks including but not limited to:

  • A small part of the tissue in your abdomen can bulge through the surgical incisions causing a hernia.
  • Excessive bleeding may occur.
  • Blood clots may develop in the leg or pelvic veins.

What care will I need when I get home?

Before leaving the hospital, you will be instructed on what you need to do.  A catheter will collect urine for the first 4-7 days following your surgery.  It is usually removed at your first visit with your surgeon and you will be taught how to care for it.  You also need to monitor your temperature and report if it climbs.  Other conditions noted would require you to contact us.

Will I be able to have sex after the surgery?

The nerves around the prostate enable an erection.  These nerves take time to heal.  Most men require 9-12 months after surgery to achieve an erection that will allow penetration (sex).  However, many men do experience partial erections sooner.  We recommend abstaining from sexual activity for at least 4 weeks after surgery.  You will meet with the surgeon 4-6 weeks after your surgery to begin therapy designed to stimulate early return of sexual function.

How long will I need to be off of work?

If your job involves long periods of sitting, you may return to work in 1-2 weeks.  More strenuous working conditions may take up to 4 weeks.

Map to El Paso Urology

El Paso Urology
4687 N Mesa, Suite 100
El Paso, TX 79912
Ph. (915) 532 3119
Fax. (915) 351 6048

Business Schedule

Monday 9:00AM - 5:00PM
Tuesday 9:00AM - 5:00PM
Wednesday 9:00AM - 5:00PM
Thursday 9:00AM - 5:00PM
Friday* 9:00AM - 2:00PM

*Friday by appointment only*