Robotic Prostate Surgery at Mount Sinai
Physicians at The Mount Sinai Hospital’s Milton and Carroll Department of Urology continue to innovate and expand treatment options for patients with prostate cancer.
Ash Tewari, MD, Chairman of the Department of Urology, is an internationally renowned leader in robotic prostate surgery and has performed more than 5,000 robotic prostatectomies, making him one of the most experienced robotic prostate surgeons in the world. In order to minimize the damage to the nerves responsible for erectile function, Dr. Tewari pioneered the performance of a completely athermal technique (no use of cautery or heat energy) during robotic prostatectomy. Also, he developed the total reconstruction technique, in which the support structures of the urinary mechanism are restored following prostate removal, for faster continence recovery.
Robotic Surgery Expertise and Patient Benefits
The robotic da Vinci® surgical system can be used for the surgical treatment of most types of prostate cancers. The advantage of small incisions and high definition visualization allows for the surgeon to perform complex procedures without using large surgical incisions.
This system consists of a console where the surgeon sits while operating, four interactive robotic "arms," a high definition 3D vision system, and wrist instruments designed with seven degrees of motion (these instruments can bend and rotate further than the human hand). The surgeon is fully in control of the robot; it cannot move on its own.
Robotic surgery offers patients numerous benefits, including less time in surgery and under general anesthesia, significantly less blood loss during surgery, a reduction in post-surgical pain, and, typically, a quicker recovery. In addition to offering the surgeon speed and efficiency, the da Vinci system’s 3D magnified view allows for better visualization and the delicate instruments are highly sensitive.
Not every patient is a candidate for minimally invasive surgery, including robotic surgery. As with any surgery, the expertise of your surgeon is key for determining the kind of surgery for the most optimal outcome. Patients should talk to their doctors about their surgical experience with the da Vinci system when making a treatment decision.