Robotic And Laparoscopic Surgeries

With technological advancements, laparoscopic and robotic techniques have evolved for performing urological surgeries. These minimally invasive surgeries provide several advantages over open surgeries, such as fewer complications, less tissue injury, shorter hospital stay, a reduced requirement for pain medications, and faster recovery.

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Procedures and treatment

  • Ablative Surgeries: Surgeons perform ablative surgeries to destroy the abnormal mass of cells or tissues through minimally invasive techniques. Ablative surgeries are performed in several conditions, such as prostate cancer, benign prostatic hyperplasia, renal carcinoma, and in patients who cannot urinate due to bladder or kidney damage, bladder stones, or persistent urinary tract infections. The techniques used in ablative therapies include high-intensity focused ultrasound, cryotherapy, vascular-targeted photodynamic therapy, and transurethral needle ablation.
  • Reconstructive Surgeries: Robotic and laparoscopic techniques are also used in urological reconstructive surgeries. These surgeries have fewer complications compared to open surgeries.
  • Cystectomy: The surgeons perform a cystectomy to remove the urinary bladder. Radical cystectomy involves the removal of the urinary bladder along with some nearby organs. In women, radical cystectomy usually involves the removal of ovaries, the uterus, fallopian tubes, and some part of the vagina. In men, the seminal vesicles and prostate are removed along with the bladder during radical cystectomy. The doctor performs a cystectomy to treat bladder cancer, inflammatory or neurological disorders associated with the bladder, and congenital conditions related to the bladder.
  • Radical Prostatectomy: It is a surgical procedure performed to remove the entire prostate gland and nearby tissues. During a laparoscopic radical prostatectomy, the surgeon makes five small incisions compared to one large incision in open surgery. Radical prostatectomy treats localized prostate cancer.
  • Radical/Partial Nephrectomy: Radical nephrectomy involves the removal of the entire kidney along with some surrounding structures. Partial nephrectomy involves the resection of only the affected part of the kidney. It is performed to treat kidney cancer and to remove a scarred, severely damaged, or non-functioning kidney.
  • Pyeloplasty: Laparoscopic pyeloplasty is a minimally invasive procedure that corrects the narrowing or blockage in the ureter at the place of its exit from the kidneys. This condition is termed ureteropelvic junction obstruction.
  • Ureteral Reimplantation: It is a procedure that involves altering the position of the ureters at the point of their joining to the bladder. Ureteral reimplantation is performed in patients suffering from distal ureteral strictures, vesicoureteral reflux, and traumatic distal ureteral injuries.