da Vinciâ Prostatectomy:
Laparoscopic Prostatectomy


da Vinciâ Prostatectomy brochure (PDF)

da Vinci
â Prostatectomy patient video (.wmv)

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Austin Business District Magazine Innovators, Dr. Koushik Shaw, Urology

Why choose The Austin Diagnostic Clinic to help diagnose and treat your Prostate Cancer?

Dr. Shaw has been working with and performing da Vinciâ Prostatectomy surgery for over 7 years, beginning with his residency training at the Tulane University Health Science Centers, which was one of the first centers in the Gulf Coast Region to utilize this technology. Subsequently, he was among the first surgeons to introduce this technology to the Austin/Central Texas region. Our team is the first in the area to have used this minimally invasive robotic technology to do surgery for high grade bladder cancer as well as for female continence surgery and pelvic floor reconstruction.

Intuitive Surgical, developer of the Robotic System, has entrusted Dr. Shaw to serve as a proctor, or teacher of this specialized technology to train and introduce new surgeons throughout the country.

Our continence, or dryness rates, as well as return to potency rates are comparable to the top surgeons performing this technology. Please do understand this will vary by the degree of your cancer, age, and unique medical and surgical issues.

Blood transfusions are rarely required in our experience.  Since only 5 dime-sized incisions are made, the vast majority of our patients are able to leave the hospital within 24-48 hours of surgery, and require minimal pain medications. A catheter, which is placed at the time of surgery, is usually removed within 7-10 days of your procedure.

open prostatectomy incision vs da Vinci prostatectomy

There are over 52 surgeons performing this unique, minimally invasive surgery in the State of Texas.  In addition to our experience, at The Austin Diagnostic Clinic, we feel we offer our patients the following benefits:

bullet Urologic experience of over 7 years
bullet Minimized operative/anesthetic times comparable to the most efficient operating room teams in the country
bullet Excellent potency and continence results
bullet Easy accessibility to our office, nurses and surgeon
bullet Personalized care with attention to detail

The Next Generation of Prostate Cancer Surgery

Koushik Shaw, MD, Austin Urologist, with DaVinci Laparoscopic Prostactectomy

Surgical removal of the prostate and surrounding tissue (radical prostatectomy) has long been recognized as one of the most effective forms of therapy for prostate cancer. A conventional radical prostatectomy involves an open incision across the lower abdomen. Laparoscopic prostatectomy represents a major advance in the treatment of prostate cancer by offering men a less-invasive alternative to traditional surgery.

da Vinciâ Prostatectomy (dVP)  The da Vinciâ prostatectomy (dVP) is a minimally invasive surgical technique that provides a safe and alternative way to remove the prostate gland in patients diagnosed with prostate cancer.

The operation is performed using the da VinciâSurgical System and fine laparoscopic instrumentation inserted through 5 to 6 small 1-cm incisions across the mid abdomen. This is in contrast to the conventional open radical prostatectomy where a lower midline abdominal incision is required for dissection and removal of the prostate gland.

During the dVP, a telescopic lens is inserted into one of the small 1-cm incisions, providing a magnified view of delicate structures surrounding the prostate gland (e.g. nerves, blood vessels, muscles, and bowel) thus allowing optimal preservation of these vital structures. The cancerous prostate gland is dissected free from the bladder and urethra, and the bladder and urethra are sewn together without the surgeon's hands ever entering into the patient's body. The prostate is eventually removed intact through one of the small 1-cm incisions located at the belly button by extending the incision to accommodate the prostate depending on its size (usually 3-4 cm). 
 

The da VinciâSurgical System

Surgeon guiding robotic arms on Davinci Prostatectomy

The da Vinciâ Surgical System is a computer-enhanced minimally invasive surgical system consisting of three components: the InSite Vision System, Surgical Cart and Surgeon Console. The InSite Vision System provides the surgeon a true minimally invasive 3-D view of the surgical field including depth of field, magnification and high resolution. The Surgical Cart includes three robotic
arms whereby the laparoscope and two EndoWrist Instruments are inserted. The EndoWrist Instruments are designed to mimic the movement of the human hands, wrists and fingers. The extensive range of motion allows precision that is not available in standard minimally invasive procedures. The Surgeon Console contains the master controls that the surgeon uses to manipulate the EndoWrist instruments. The handles or “Masters" translate the surgeon's natural hand and wrist movements into corresponding, precise and scaled movements. The EndoWrist Instruments are only able to move when commanded by the surgeon.

Benefits of the da Vinci
â System
With its 3-D view, the da Vinci
â Surgical System aids the surgeon in more easily identifying vital anatomy such as the delicate nerves and blood vessels surrounding the prostate. The EndoWrist Instruments provide the surgeon with the dexterity not available using conventional laparoscopic instruments to perform an intricate and precise surgical dissection, prostate removal and reconstruction.

Go to Laparoscopic Prostatectomy Pre and Post-Operative Instructions

Download PDF version of Laparoscopic Prostatectomy Patient Preparation Information
 


For more information about the da Vinciâ Laparoscopic Prostatectomy or prostate cancer treatments at The Austin Diagnostic Clinic,
please call 512/901-4321 or click here to send an email request.
 


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The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
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