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Robotic Urology

Prostate Cancer – Prostate cancer often grows slowly. With early detection, it is usually confined to the prostate gland, making it amenable to treatment. The most common form of treatment for prostate cancer localized to the prostate gland is robot-assisted laparoscopic prostatectomy. Using this technique, the surgeon is better able to carefully remove the prostate. This leads to better control of cancer and less damage to delicate nerves and muscles of the pelvic floor which are responsible for both erectile function and urinary continence. Through better visualization and more delicate control, cancer is controlled while minimizing the risks of both impotence and incontinence after surgery.

Dr. Nicholson is currently performing robot-assisted laparoscopic prostatectomy. He has over 8 years of experience with the robotic surgical platform and has personally taught over 150 urologists across the country to perform this procedure. When treating prostate cancer, he has three goals and aggressively works to accomplish all of them. These goals are cancer control, continence and preservation of erectile function.

Kidney Cancer – Kidney tumors used to mean open surgical removal of the entire kidney. Over time, techniques for removing only the tumor and leaving the remainder of the kidney behind were developed. Now, with robot-assisted laparoscopic partial nephrectomy, we have the ability to remove only the tumor through very small incisions. The precision of the robotic platform allows for careful removal of the tumor and the ability to surgically close the defect left in the kidney by removal of the tumor, all through small incisions. This means a faster recovery and the ability to get back to your life more quickly. It allows us to perform surgery for kidney tumors more safely, more carefully and usually with less blood loss.

Dr. Nicholson is currently performing robot-assisted laparoscopic partial nephrectomy. He has over 8 years of experience with the robotic surgical platform and has personally taught over 25 urologists across the country to perform this procedure. When treating kidney cancer, his goal is careful surgical removal of the tumor with small incisions and minimal damage to the remaining kidney.

Kidney Blockages – There are many ways that a kidney can become blocked. One of the most common locations for blockage is referred to as the uretero-pelvic junction or the UPJ. Blockages in this area are often present at birth but can also develop due to scarring or due to compression from a blood vessel crossing the ureter from the outside. With robot-assisted laparoscopic pyeloplasty, the UPJ can be repaired with only a few small incisions. The precision of the robot allows careful sutures to be placed under magnification leaving a watertight seal which leads to faster healing and better recovery.

Dr. Nicholson is currently performing robot-assisted laparoscopic pyeloplasty. He has over 8 years of experience with the robotic surgical platform and, although UPJ obstruction is relatively rare, has personally taught over 20 urologists across the country to perform this procedure. When treating UPJ or other ureteral obstruction, his goals are a careful, watertight closure through small incisions so both the ureter and the patient heal better and more quickly.

Pelvic Floor Prolapse – Prolapse is the term used to describe a condition where pelvic organs begin to drop or protrude out of the pelvic floor. This is caused by weakening of the pelvic floor due to age, pregnancy and childbirth or connective tissue diseases such as lupus.Although there are many new options for the correction of pelvic floor prolapse, one of the most widely used and most permanent repairs is known as a sacrocolpopexy.

Using the robotic surgical system, the surgeon is able to quickly and effectively perform the procedure. The ability to easily place stitches deep in the pelvis allows for permanent suspension of the uterus and correction of pelvic floor prolapse in an efficient, careful manner. This leads to less blood loss, less pain, smaller incisions and ultimately better outcomes. Becuase of this, patients usually spend less time in the hospital, enjoy a more rapid recovery at home and a faster return to normal activities.

Dr. Nicholson is performing robot-assisted laparoscopic sacrocolpopexy. He has over 8 years of experience with the robotic surgical platform and has taught both urologists and gynecologists how to perform this procedure.

For More Information about these or other robot-assisted urology treatment options, call 419-228-8950 or email Linda Chartrand at lechartrand@health-partners.org.





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