da Vinci Surgery Cystectomy, Partial Cystectomy and Prolapse Surgery

da Vinci surgery cystectomy also called robotic bladder removal surgery always includes reconstruction of the urinary system. When cancer of the bladder occurs, the bladder surgery used in the majority of cases is the removal of a bladder tumor on the surface of the bladder wall in an outpatient procedure. Bladder removal, partial bladder removal, and bladder prolapse surgery can all be performed as a da Vinci surgery.

da Vinci surgery cystectomy can include the removal of the bladder, lymph nodes, and in women the uterus, urethra, fallopian tubes, ovaries, and vagina, and in men the prostate, vas deferens, urethra, seminal vesicles, and lymph nodes. Adjunct therapies are often used following surgery to remove any cancer cells still residing in the body. The adjunct therapies include chemotherapy, radiation therapy, and biological therapy.

da Vinci surgery cystectomy can have a longer recovery time then the other robotic urological cancer surgeries. This is because there is a learning curve and a healing curve for the new urinary system. When the bladder is removed a section of the intestinal tract can be used to create a new bladder or it can be used to create a tube leading from the kidney to the abdomen where a small port is made called a urostomy allowing the kidneys to empty out into an external pouch where the urine collects and can be emptied when necessary. In either urinary diversion, the healing time of of the new bladder, called a neobladder, or the urostomy takes weeks to heal. Bladder training for the neobladder includes building up the muscles at the bottom of the neobladder to maintain continence and relaxing the muscles holding in the urine to urinate. For those with the urostomy, training involves emptying, cleaning and replacing the pouch when necessary along with care of the stoma.

Da Vinci prolapse surgery is also performed when a women gets a dropped bladder which is caused by the supporting tissues in the bladder, uterus, or rectum give way. Kegel exercises are performed early in life to prevent these structural weaknesses from occurring however giving birth, obesity, and straining often during bowel movements are common risk factors for bladder prolapse. Da Vinci prolapse surgery creates a support structure with synthetic mesh sling made with synthetic polypropylene or biologically grafted tissue. Another surgical method is tightening the tissues that support the bladder with sutures.

da Vinci surgery is used to help both bladder cancer patients and dropped bladder patients with small scars, less bleeding, quicker recovery times, and less time in the hospital. For an appointment call (305) 822-7227 or make an appointment online.

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