Less invasive surgical techniques have also been successfully applied to numerous diagnostic and therapeutic procedures involving the genitourinary tract (kidneys, bladder, prostate). As with all minimally invasive and less invasive surgeries, patients will experience the potential benefits less invasive urological surgery has to offer; faster recovery (numerous patients go home the same day), less post operative pain, smaller scars ( 3-4 key-hole incisions as opposed to large 8-10 inch incisions ).
Minimally invasive urological procedures are divided into two categories, laparoscopic or endoscopic. Less invasive laparoscopic urological surgery refers to the diagnosis and/ or treatment of diseases within the kidneys, adrenal glands, and the prostate. Endoscopic urological procedures or surgery refers to the treatment of stones within either the kidneys or ureters. Less invasive urologic procedures are for patients in which conventional treatments failed or who have strictures, gross obesity, tumors, stones too large for other treatment options and children with these same conditions.
Less invasive surgery shows promise for kidney cancer. According to a recent report in the Journal or Urology in which a team from the Cleveland Clinic Foundation says patients recovered well when their tumors were removed less invasively as an alternative to opening the entire abdomen. But the procedure is complicated and requires expert surgeons, they warn. Read more...
Robotics are currently being applied to minimally invasive urologic surgery, specifically nephrectomies and radical prostatectomies for the treatment of prostate cancer. Robotics do not replace the surgeon, but rather enhance their precision, control, visualization and dexterity while performing these delicate surgeries through minute incisions. The da Vinci Prostatectomy is the fastest growing treatment
for prostate cancer today. As stated in the Intuitive Surgical website, " the da Vinci Prostatectomy incorporates a state-of- the-art surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure."
The following is a list of minimal access or minimally invasive urologic procedures that are currently being performed at many medical centers around the nation. Under certain circumstances, not every patient may be an appropriate candidate for a less invasive urological procedure. Each patient is evaluated for less invasive urologic surgery on an individual case by case basis.
Live donor nephrectomy
- or kidney removal from an individual for donation to a recipient who has kidney failure, can be performed less invasively and with robotic assistance.
Laparoscopic partial or total nephrectomy - less invasive removal of part or all of a diseased kidney due to cancer, stone disease, or blockage. Can be done with robotic assistance (Robotic Nephrectomy).
Nerve-sparing Laparoscopic Prostatectomy - less invasive removal of a diseased prostate, with or without robotic assistance. This minimally invasive approach has been proven more effective than the conventional prostatectomy and with patients experiencing less pain and blood loss.
Laparoscopic Pyeloplasty - or reconstruction of the kidney's drainage system in patients who are experiencing a blockage at the connection between the ureter or drainage tube and the kidney.
Minimal access Perineal Prostatectomy - resection of the diseased prostate through the perineum.
Laparoscopic Pelvic Organ Prolapse Repair
Laparoscopic Retroperitoneal Lymph Node Dissection - minimally invasive approach for the removal lymph nodes in male patients with testicular cancer.
Percutaneous Nephrolithotomy - less invasive surgical removal of kidney stones.
Percutaneous Ablation of Renal and Adrenal Tumors - a less invasive, safe and effective way to destroy renal and adrenal malignancy.
Minimally Invasive Ureteroscopic Stone Fragmentation and Removal (URS) - is a less invasive endoscopic procedure that allows the surgeon to do surgery inside the ureter without making an incision. Ureteroscopy is used for stones in the ureter, narrowing of the ureter (strictures), tumors and removal of foreign materials. This procedure can be done with robotic assistance (Robotic Pyeloplasty).
Minimally Invasive Retrograde Intrarenal Surgery (RIRS) - allows the surgeon to do surgery inside the kidney without making an incision. The instrument for RIRS enters through the body's natural opening, through the bladder and the ureter, into the kidney. RIRS is used for patients with stones in the kidney, narrowing of the outlet of the kidney or within the kidney (strictures) and tumors in the kidney.
Laparoscopic partial or total nephrectomy - less invasive removal of part or all of a diseased kidney due to cancer, stone disease, or blockage. Can be done with robotic assistance (Robotic Nephrectomy).
Nerve-sparing Laparoscopic Prostatectomy - less invasive removal of a diseased prostate, with or without robotic assistance. This minimally invasive approach has been proven more effective than the conventional prostatectomy and with patients experiencing less pain and blood loss.
Laparoscopic Pyeloplasty - or reconstruction of the kidney's drainage system in patients who are experiencing a blockage at the connection between the ureter or drainage tube and the kidney.
Minimal access Perineal Prostatectomy - resection of the diseased prostate through the perineum.
Laparoscopic Pelvic Organ Prolapse Repair
Laparoscopic Retroperitoneal Lymph Node Dissection - minimally invasive approach for the removal lymph nodes in male patients with testicular cancer.
Percutaneous Nephrolithotomy - less invasive surgical removal of kidney stones.
Percutaneous Ablation of Renal and Adrenal Tumors - a less invasive, safe and effective way to destroy renal and adrenal malignancy.
Minimally Invasive Ureteroscopic Stone Fragmentation and Removal (URS) - is a less invasive endoscopic procedure that allows the surgeon to do surgery inside the ureter without making an incision. Ureteroscopy is used for stones in the ureter, narrowing of the ureter (strictures), tumors and removal of foreign materials. This procedure can be done with robotic assistance (Robotic Pyeloplasty).
Minimally Invasive Retrograde Intrarenal Surgery (RIRS) - allows the surgeon to do surgery inside the kidney without making an incision. The instrument for RIRS enters through the body's natural opening, through the bladder and the ureter, into the kidney. RIRS is used for patients with stones in the kidney, narrowing of the outlet of the kidney or within the kidney (strictures) and tumors in the kidney.
Minimally Invasive Adrenalectomy
- a less invasive procedure to remove an adrenal tumor. If you have certain conditions of the adrenal gland, such as Cushing's syndrome, pheochromocytoma, aldosteronoma or an adrenal tumor that was found by accident, you are usually a candidate for removal of the adrenal gland by laparoscopy.
Minimally Invasive Robotic Assisted Cystectomy - less invasive surgery for the removal of the urinary bladder due to advances cancer.
Minimally Invasive Robotic Assisted Cystectomy - less invasive surgery for the removal of the urinary bladder due to advances cancer.
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