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da Vinci® Robot Surgery

The da Vinci® Surgical System is being used by many surgeons worldwide for a variety of urologic procedures. It is a minimally invasive approach that offers patients facing urologic surgery many potential benefits over traditional open surgery, including:

• Less post operative pain
• Less blood loss
• Fewer infections
• Shorter hospital stay
• Faster return to normal daily activities

Choose from the following topics to learn more about da Vinci® Surgical System:

Bladder Surgery | Kidney Surgery | Prostate Surgery | Female Pelvic Organ Prolapse Surgery

AUNC is proud to present our accomplished group of surgeons that perform da Vinci© robot surgery at our practices in North Carolina.

Scott D. Baker, MD Urology	Marc D. Benevides, MD Board-certified, Urology
Brian C. Bennett, MD Board-certified, Urology	Mark W. Jalkut, MD Board-certified, Urology
Mark W. McClure, MD, FACS Board-certified, Urology	Daniel Khera-McRackan, MD Board-certified, Urology
Joseph D. Neighbors, Jr. MD Board-certified, Urology	Brent A. Sharpe, MD Board-certified, Urology
Frank L. Tortora, MD, FACS Board-certified, Urology

Bladder Surgery

Bladder Cancer:

	©2011 Intuitive Surgical, Inc.

Bladder cancer is the second leading cause of genitourinary cancer. Bladder cancer is three times as common in men compared to women. If bladder cancer is confined to the surface of the bladder, it can be treated with a minimally invasive outpatient procedure called a transurethral resection of the bladder tumor. However, if cancer invades into the muscle fibers of the bladder, it is usually necessary to remove the bladder, which is called a radical cystectomy, and divert urine into a new bladder that is created from a portion of the intestinal tract. Traditionally a radical cystectomy and diversion is performed as an open operation. With the advent of the da Vinci® robot it is now possible to perform a da Vinci® robot –assisted radical cystectomy and diversion in selected individuals.

Kidney Surgery

UPJ obstruction:

©2011 Intuitive Surgical, Inc.

The point where the kidney collecting system meets the ureter (tube that transports urine from the kidney to the bladder) is called the ureteropelvic junction ( UPJ). If the UPJ becomes obstructed it can impair renal function. If surgical repair is indicated, a plastic surgical type of repair, called a dismembered pyeloplasty is performed to reconnect the severed end of the ureter to the renal pelvis. Our AUNC urologists specialize in minimally invasive da Vinci® robot-assisted dismembered pyeloplasty. The success rate of this procedure is 95%.

Kidney cancer

Kidney cancer accounts for 5% of all male cancers and approximately 3% of female cancers. Surgery is the only highly effective treatment for this type of cancer. Removal of the entire kidney, which is called a radical nephrectomy, is sometimes necessary to remove all of the cancer. Depending upon the size and location of the tumor, it may be possible to perform a partial nephrectomy; that is, to only remove the part of the kidney that contains the cancer and spare the rest of the unaffected portion of the kidney. For appropriate candidates, our AUNC urologists offer their patients the option of da Vinci® robot-assisted laparoscopic partial or radical nephrectomy.

	©2011 Intuitive Surgical, Inc.

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Prostate Surgery

Prostate cancer is the leading cause of cancer and the second leading cause of cancer-related death in men. If the cancer is confined to the prostate, a radical prostatectomy (surgically removing the prostate) results in a 95% cure rate at ten years. In addition to open surgery, the prostate can be removed laparoscopically with the aid of a da Vinci® robot. Surgeons using the da Vinci® robot have the benefit of ten-fold magnification of their operative view. Furthermore, in cramped spaces, the da Vinci® robotic arms allow surgeons greater flexibility with a range of motion that exceeds that of the human hand.

©2011 Intuitive Surgical, Inc.

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Female Pelvic Organ Prolapse Surgery

Up to 50% of women will develop pelvic organ prolapse in their lifetimes. Now minimally invasive techniques have reduced recovery times, decreased pain and scarring, and have better success rates than open surgical repair. Our AUNC providers have actively participated in this evolution, and their many happy patients can attest to the benefits of these advanced techniques.

Sacroculpopexy

There are a variety of approaches and graft materials that are used to reconstruct pelvic organ prolapse. Our AUNC providers will select the approach and surgical repair that is best suited to the patient’s anatomical defect.

	©2011 Intuitive Surgical, Inc.

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