Minimally Invasive Surgery - Less is More

Minimally Invasive Urology Surgery  

Dr Kaye Robotic Surgery

Facing any kind of urologic surgery creates a great deal of anxiety for most men. Traditional open urologic surgery – in which large incisions are made to access the pelvic organs – has been the standard approach when surgery is warranted. Yet common drawbacks of this procedure include significant post-surgical pain, a lengthy recovery and an unpredictable, potentially long-term impact on continence and sexual function. 

daVinci surgery, a minimally invasive approach that uses the latest in surgical and robotics technologies, is ideal for delicate urologic surgery. This includes prostatectomy, in which the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function. 

Minimally invasive prostate resection is surgery to remove part of the prostate gland to treat an enlarged prostate. The surgery will improve the flow of urine through the urethra, the tube that carries urine from the bladder outside of your body. 

The surgery can be done in many different ways with no incision in your skin. Depending on the size of the prostate and what caused it to grow, your doctor also will consider your overall health before recommending a procedure. 

All of these procedures are done by passing an instrument through the opening in the penis. You will be given general anesthesia, spinal or epidural anesthesia (awake but pain-free), or local anesthesia and sedation. Options include: 

  • Laser prostatectomy: Laser prostatectomy takes about one hour. The laser destroys prostate tissue that blocks the opening of the urethra. You probably will go home the same day. You may need a Foley catheter placed in your bladder to help drain urine for a few days following surgery. 
  • Transurethral needle ablation (TUNA): Your surgeon passes needles into the prostate. High-frequency sound waves heat the needles and prostate tissue. You may need a Foley catheter placed in your bladder to help drain urine after surgery for three-to-five days. 
  • Transurethral microwave thermotherapy (TUMT): TUMT delivers heat using microwave pulses to destroy prostate tissue. Your surgeon will insert the microwave antenna through the urethra. 
  • Transurethral electrovaporization (TUVP): A tool or instrument delivers high-voltage electrical current to destroy prostate tissue. You will have a catheter placed in your bladder. It may be removed within hours of the procedure. 
  • Transurethral incision (TUIP): Your surgeon makes small incisions where the prostate meets your bladder. As a result, the urethra becomes wider or more open. This procedure takes 20 to 30 minutes. Many men can go home the same day. Full recovery can take two-to-three weeks. 

Minimally Invasive Urology Surgery for Women 

Vaginal sling procedures help control stress incontinence, and urine leakage that can happen when you laugh, cough, sneeze, lift things or exercise. They help close your urethra (the tube that carries urine from the bladder to the outside) and the bladder neck (the part of the bladder that connects to the urethra). 

Vaginal sling procedures use either tissue from your body, tissue from someone else's body, or synthetic material. Your doctor will make one small incision in your vagina and another small incision just above your pubic hair or in the creases of your thighs. Most of the operation is done through an incision in the vagina. Your doctor creates a sling from the body tissue or synthetic material. The sling passes under the urethra bladder neck. The sling attaches to tissues in your lower belly that are very strong. 

If you’d like more information on minimally invasive urology surgery, the daVinci Surgical System, or the doctors and services available at Scottsdale Healthcare, please call 480-323-3663.