Robotic cystectomy is a less-invasive approach to bladder removal for bladder cancer patients offered at UW Health's University of Wisconsin Hospital and Clinics and Meriter Hospital in Madison, Wisconsin. The da Vinci robotic cystectomy procedure is a new approach to bladder removal that incorporates the latest advancements in robotic-assisted technology.
The Robotic Cystectomy Procedure
With robotic cystectomy, UW Health urologists use a less-invasive approach to bladder removal. Surgeons operate using the da Vinci robot and powerful magnification tools to enhance the surgical field 10 times better than he would with a normal eye.
- In men, the bladder, prostate, seminal vesicles, part of the vas deferens and lymph nodes are removed. Surgical advances are allowing surgeons to spare the nerve bundles responsible for erection.
- In women, the bladder, uterus, fallopian tubes, ovaries and part of the anterior vaginal wall are removed, but the vagina can now be spared in some cases. In women who are not menopausal, the ovaries and fallopian tubes can be preserved during this operation.
The cancerous bladder is removed from an small incision made in the lower abdomen below the belly button (umbilicus) and the neobladder (a substitute bladder created with the patient's own tissues) is constructed through the same incision.
Robotic Cystectomy Advantages
- Less blood loss and need for transfusions than radical cystectomy
- Less need for major pain medication
- Smaller surgical incision