Until recently, men with prostate cancer had only a few surgery choices for their prostate problems. Historically, the only prostate surgery option was open prostatectomy, involving large incisions and post-operative side effects. Using this procedure, the entire cancerous prostate was removed, with a risk of excessive blood loss, post-op infections, long hospital stays, and considerable pain.
Over time, there has been revolutionary improvement due to evolving surgical technology, shining a spotlight on robotic surgery called da Vinci Surgical System. Da Vinci robotic surgery, is gaining popularity as it is a less traumatic and minimally invasive prostate cancer treatment, with reduced risks and complications.
Urologic Surgeons of Arizona also provides the best urologic care and treatment to patients with a variety of urological and health problems, including organ prolapse, kidney stones, BPH, and urinary incontinence.
Sitting at the da Vinci surgical console, Dr. Alvi performs robotic surgery by controlling the robotic device consisting of high-resolution cameras and micro-surgical instruments. Powered by state-of-the-art robotic technology, his hand controls are scaled and translated into precise movements. Dr. Alvi performs the following robotic surgical procedures:
A robotic prostatectomy uses finely controlled robotic instruments to perform the prostatectomy safely, while enhancing patient recovery and outcome. Robot-assisted radical prostatectomy has become a standard of care for prostate cancer in the United States and in developed countries throughout the world. A radical prostatectomy is an operation to remove the prostate gland and some of the tissue around it.
Unlike laparoscopic surgery, da Vinci Surgical System instruments used in robotic prostatectomy provides the surgeon with improved visualization, agility, and precision compared with open or laparoscopic surgery, while enabling operation through 1-2 cm incisions.
The robotic technology allows Dr. Alvi to perform fine computer-controlled movements and a more precise and minimally invasive robotic prostatectomy. During this prostate cancer treatment, the patient’s delicate prostate nerves that control bladder and sexual function are left untouched and remain intact during surgery. Robotic prostatectomy achieves the same or better prostate cancer treatment results than a surgeon’s own hands.
Robotic Radical Nephrectomy is a treatment used for those diagnosed with kidney cancer. Compared with open surgery, robotic kidney surgery uses smaller incisions and doesn’t require cutting through muscle or bone, resulting in less scarring and trauma to the patient and a faster recovery time. Robotic Radical Nephrectomy provides patients with a safe and minimally invasive technique for complete removal of the affected cancerous kidney.
Robotic partial nephrectomy is a treatment used for those diagnosed with kidney cancer. This procedure provides patients with a safe and minimally invasive technique for removal of the cancerous tumors, while preserving the remainder of the healthy kidney.
A Robotic Radical Cystectomy is a surgical procedure for those diagnosed with bladder cancer. As radical means whole, the Robotic Radical Cystectomy’s goal is to remove the entire bladder, with the hopes of removing the cancerous tumors in the bladder all together. As bladder cancer tends to spread to other areas of the body, during a radical cystectomy, the nearby tissue, the surrounding organs, and regional lymph nodes are usually removed as well.
Pelvic organ prolapse is a medical condition in which female pelvic organs, including the bladder, uterus, vagina, and/or rectum, descend from their normal positions within the pelvis. These organs can even sometimes protrude through the opening of the vagina. Robotic Sacrocolpopexy is a surgical technique used to treat vaginal vault or uterine prolapse, two types of pelvic organ prolapse. The objectives of the procedure are to reduce prolapse and to restore the anatomy and function of the vagina.
When urine is formed by the kidney, it pools in an area called the renal pelvis. Almost like a funnel used to pour motor oil into your car engine, the renal pelvis is wide at the top and tapers at the bottom, “funneling” the urine into the ureter.
The ureter, a long thin muscular tube, then carries the urine from the pelvis to be stored within the bladder. Ureteropelvic junction obstruction (UPJ obstruction) is a condition where a blockage occurs where the pelvis and ureter meet. Due to this condition, urine is unable to pass from the kidney into the ureter, resulting in both urine and pressure buildup inside the renal pelvis and kidney, causing pain, kidney stones, and/or decline in the kidney’s function over time. The traditional treatment for ureteropelvic junction obstruction is a robotic pyeloplasty. Dr. Alvi creates a large open surgical incision under the rib to cut out the area of scarring and re-connect the healthy ureter to the renal pelvis.