Robotic Surgery is the Future of Urology

The medical field of urology has long embraced technology by adopting innovative equipment and techniques soon after they are developed. One technical innovation that has been at the forefront of medical treatment is robotic surgery. Presently, robot-assisted techniques account for up to 50% of urologic surgeries. And in several types of procedures, particularly in cancer therapy, robotic surgery has become the standard approach.

Growing dominance

In recent years, urology training programs have increasingly emphasized instruction in robotic systems. In fact, more than 70% of existing urology training and subspecialty fellowships focus on teaching minimally invasive laparoscopic and robotic procedures. With this continued emphasis during medical training, robotic systems are likely to become the leading method of urology surgeries.

Standard approach

Robotic surgical systems have become the standard approach in performing radical prostatectomy. When used properly, they result in reduced blood loss and scarring, decreased risk of nerve damage and preserved erectile function. Robot-assisted surgery is also the standard technique for partial and total nephrectomy (removal of the kidney). Robotic nephrectomy has a significantly shorter operating time, minimizes blood loss, and requires a shorter hospital stay than traditional open surgery.

In addition, robotic approaches have ensured that even the more technically challenging procedures are standardized, as with intra-corporeal urinary diversion and radical cystectomy. Urologists can now perform robotic cystectomy with intracorporeal diversions resulting in reduced complications.

Increased efficiency

Since urologic laparoscopic procedures are technically quite challenging, robotic systems have increasingly become the more efficient alternative. For instance, the da Vinci robotic system has finer surgical instruments that allow for smaller keyhole incisions. This gives urologists a high degree of freedom when working with very small spaces and ensures precise tissue dissection and surgical manipulations.

With da Vinci robotic surgery, the 10x magnification and high-definition imaging of internal structures ensures that nerves and tissue are unharmed. By facilitating the identification of key anatomic structures, the robotic system makes complex surgeries more successful.

Greater patient satisfaction

Robotic surgical systems have established minimally-invasive procedures as the centerpiece of urologic surgery. Urologists can now perform bladder, kidney, and prostate removal with superior pre-operative and post-operative outcomes compared to open surgery.

The benefits of the da Vinci robotic surgery have triggered a rising patient demand for robotic surgery. Most patients want a reduced risk of bleeding and shorter recovery time. With increased patient demand, robotic surgery will become even more in demand.

Revolutionized cancer therapy

Robot-assisted surgery has changed the way urological cancers are treated, allowing for the removal of bladder and kidney tumors using minimally invasive techniques. In younger patients with testicular cancer that has already spread to the lymph nodes, robotic surgery can now be used as an alternative to radiotherapy.

The da Vinci surgical procedure provides a superior prostate cancer survival rate and ensures that the prostate cancer is treated without postoperative urinary or erectile problems. It also enables urologists to conduct salvage operations on patients with recurrent cancer, helping to avoid or delay the need for chemotherapy.

At St Pete Urology, we believe robotic surgery is the future of urology. We are continually investing in cutting-edge robotic equipment and procedures that enable us to do a wide array of minimally invasive surgeries that achieve optimal outcomes for our patients. For more information on urologic disorders and surgical procedures, visit the St Pete Urology website.

Reconstructive Urologic Surgery

Reconstructive urology is a very important part of a patient’s urological treatment. For many different reasons, patients may find themselves in need of surgery to repair their urinary and reproductive systems. Everyone is different, so urologists assess each patient’s situation to determine the best treatment. A patient’s age, health and ability to recover from surgery are all factors a urologist will consider when determining if surgery is the best option.

There are many different forms of reconstructive urologic surgery. Urologists are trained to perform surgeries on the kidneys, bladder, urethra, testicles, prostate and vagina. They spend years in school and training with urologists to learn the surgical techniques needed to perform reproductive surgeries. They stay up to date with the newest techniques and technologies in urologic surgery.

Reconstructive urologic surgery is used to treat issues such as erectile dysfunction, pelvic organ prolapse, pelvic floor disorders, urinary incontinence, penile trauma, and issues caused by different forms of cancer. One example is the treatment for erectile dysfunction. In some cases of ED, doctors will repair the blood vessels in the penis to allow easier blood flow so the patient can achieve erections. This is an option for some patients when medication and other treatments do not work.

Urologists also may rely on reconstructive surgery in cases of pelvic organ prolapse. This occurs when a woman’s muscles that hold organs like the bladder, uterus and vagina in place begin to weaken. These organs can begin to prolapse, or droop, causing numerous medical issues. A urologist will use reconstructive surgery to either implant a small plastic support device, or remove some of the drooping organs, such as the uterus, by hysterectomy.

Urologists often rely on reconstructive surgery to treat penile trauma. There are many different causes of penile injury, often from blunt force trauma. But the most common cause is an accident during sex. One type of surgery used to treat penile trauma is to make a cut around the head of the penis to pull back the skin of the affected area and treat any blood clots or tears.

All surgery is serious, and reconstructive urologic surgery is no exception. St Pete Urology has long been a leader in Florida and in the United States for all treatments of urological issues, including surgery. For more information, visit the St Pete Urology website.

Technological Innovations in Urology

Technological innovations in urology have resulted in far-reaching improvements in patient care. At St Pete Urology, the implementation of new technologies and innovations has improved diagnostic accuracy, enhanced the safety and quality of treatments, and streamlined patient information systems. For example, the use of advanced imaging technologies has enabled urologists to visualize and diagnose different conditions more precisely while minimally invasive surgery results in significantly reduced pain and quicker recovery and convalescence.

Laparoscopic Surgery

Our urology specialists use laparoscopic surgery when applying miniature instruments inserted using a small tube (known as a laparoscope) through small incisions in the patient’s body. We use novel biological sensors, techniques and instruments to ensure less pain, faster recovery and better outcomes for urologic problems. For example, we offer minimally invasive laparoscopic surgery for kidney stones, pelvic organ prolapse, live donor nephrectomy, uretal stricture, uretopelvic junction obstruction, renal cysts, renal cell carcinoma, prostate cancer and more. Our urologists in St Petersburg have also refined laparoscopic surgery for use in children to remove dysfunctional or malformed kidneys, correct blocked ureters and treat undescended testicles.

Robotic Surgery

At St Pete Urology, every urologist is trained in the use of robotic surgery to perform operations with more precision. Robot-assisted surgery is a minimally-invasive operation similar to laparoscopy (performed through smaller incisions than open surgery), but in which small surgical tools are mounted on a robotic arm controlled by the surgeon using a computer. The urologist makes tiny incisions for inserting the instruments into the body then uses an endoscope to view enlarged 3-D images of the affected area during the operation. Our urology clinic boasts of the da Vinci machine, the world’s most advanced surgical robot, enabling our specialists to conduct operations with better vision, precision and control.

External Beam Radiation Therapy (EBRT)

Also called Image Guided Radiation Therapy (IGRT), this form of treatment has been implemented at St Pete Urology with great success for prostate patients. Our state-of-the-art imaging enables urologists to direct radiation with more precision to the area of the prostate that requires treatment. With better preparation and planning, this technology ensures more accuracy and allows the urologist to target the same area of the prostate for all additional treatments. In fact, EBRT ensures less radiation and pinpoint accuracy for better outcomes and reduced side effects associated with radiotherapy.

Cryosurgery and Cryosurgical Ablation

We have implemented new cryosurgical technologies for treating prostate cancer, making it easier for our urologists to map cancerous cells more precisely, and freezing and killing cells not reachable by means of radical prostatectomy surgery. Similarly, we use cryosurgical ablation to destroy diseased tissues and eradicate prostate cancer in patients who decline radical surgery (involving prostate removal). Our cryosurgical procedures can be performed on an outpatient basis and without incisions, ensuring minimal blood loss or side effects.

Selecting the Best Technologies

In a world with seemingly endless urology innovations and technologies, we have carefully selected and implemented only those that are effective and appeal to both patients and doctors. This means that all technologies at St Pete Urology have a proven efficacy, cause the least discomfort to patients, and can easily be performed by every urologist. For more information on safer and effective use of the latest technological innovations in the treatment of urological conditions, make an appointment at St Pete Urology in St Petersburg, Florida.

Minimally Invasive Surgery with Dr Laryngakis

The da Vinci Surgical System is a surgical robot that does tiny incisions for precise, minimally invasive procedures. [Read Full Article…]

St Pete Urology is First Clinic in Area to Use da Vinci Xi Robotic Surgery

St Pete Urology Office

St Pete Urology
830 Central Ave, Suite 100
St. Petersburg, FL 33701 USA
Phone: (727) 822-9208
Fax: (727) 822-9211

Dr. Nicholas Laryngakis and Dr. Reid Graves are the first surgeons on Florida’s gulf coast to perform urologic procedures with the newest DaVinci Xi robotic technology.

Dr. Nicholas LaryngakisSt Pete Urology surgeons led the way in robotic surgery when they performed the first urologic surgeries in the Florida gulf coast area using the new da Vinci Xi technology – a four-armed surgical robotic platform that offers greater range of motion and reach, according to Dr. Reid Graves, MD.

“St Pete Urology is excited to be the first clinic on the west coast of Florida to use the next generation surgical system as part of our continued effort to offer significant surgical advancements to the community,” Dr. Laryngakis says.

The next generation of da Vinci has broader capabilities than previous versions, Dr. Graves says. It can be used across a wide spectrum of minimally invasive surgical procedures, including colorectal, urology, gynecology, thoracic and general surgery.

Dr. Reid Graves“As a surgeon, I am particularly excited by the improvements in this generation of da Vinci, which offers greater vision, dexterity and precision to perform even more complex urologic surgeries,” Dr. Graves says. “This technology truly is a natural extension of a surgeon’s eyes and hands. The da Vinci Xi allows us to provide state-of-the-art technological advancements to our patients facing complex surgical procedures. St Pete Urology continues to lead the way in clinical care.”

“The benefits of using the new robot include smaller incisions, less blood loss, less pain, shorter hospital stays and shorter recovery time,” says Dr. Laryngakis. “The Xi possesses 3D-HD visualization, giving surgeons a highly magnified view, virtually extending their eyes and hands.”