Minimally invasive surgery

Urology is a branch of medicine that provides conservative (medication) and surgical treatment of diseases of the genitourinary system.

Operations in urology can be performed for various reasons:

  • Tumors (benign and malignant).
  • Inflammatory processes.
  • Chronic diseases.
  • Urinary incontinence.
  • Pelvic trauma.

Such interventions traditionally required a wide surgical approach, a "large" incision, etc., since the kidney, bladder, prostate gland are located deep inside the body, and access to these organs is difficult. Open surgery naturally required a long recovery period and made early social rehabilitation and return to vigorous activity much more difficult. With the advent of minimally invasive surgery, all these "standards" are far in the past.

What is minimally invasive surgery?

The goal of minimally invasive surgery is to minimize trauma to the tissues through which access to the organ of interest to the surgeon occurs. In this case, the volume of the operation directly on the diseased organ occurs in full. This is achieved through the use of a laparoscopic, robot-assisted, or endoscopic approach. The access process is provided by several small punctures, which are performed with special equipment or by passing instruments through natural openings - in particular, through the urethra. The operation can be performed both under general anesthesia and under local anesthesia. Recovery after minimally invasive surgery is quick, pain is significantly less pronounced than after standard open surgery, and the cosmetic effect is much greater. The length of hospital stay is significantly reduced.

What types of minimally invasive surgery are there?

The following minimally invasive types of surgery are used in urology:

  • Laparoscopy and robot-assisted surgery is an operation performed through small punctures with a diameter of 5-10 mm.
  • Endosurgery - the operation is performed through natural openings.

Laparoscopy and robot-assisted surgery

It is used more often to treat diseases of the kidneys, bladder and prostate gland.

The operation takes place under general anesthesia. Small incisions are made on the abdomen, into which instruments are passed through special tubes "trocars". The recovery period is short. It requires the patient to follow a diet and a regimen of minimized physical activity.

In K+31, robot-assisted technologies are also used for laparoscopic operations in urology - a new direction in medicine. The robot consists of two blocks, one is intended for the operator-surgeon, and the second - a four-armed machine - plays the role of his hands - holds a video camera and three more tools. The doctor sits down at a convenient control panel, which makes it possible to see a three-dimensional display of the operation area, and uses special joysticks to control the instruments. The robot itself does not perform any movements on its own - it obeys human movements, but at the same time the accuracy of the movements of robotic manipulators is much superior to human hands.

Thanks to robotic technology, it is possible to provide:

  • Less trauma.
  • Reduction of postoperative pain.
  • Shortening of hospital stay.
  • Good functional result.
  • Accelerated medical and social rehabilitation.
  • Minimal blood loss.
  • Cosmetic effect.
  • High quality of life.
  • Low risk of adhesion formation.

Endosurgery

The operation is carried out through natural pathways. In urology, this process takes place through the urethra. Thus, it is possible to reach almost all urological organs - the urethra, bladder, prostate gland, ureters, kidneys. The intervention takes place under anesthesia. The method is used both for the diagnosis of diseases and for their treatment.

What urological diseases are treated with minimally invasive surgery?

  • Tumors and neoplasms of the bladder, ureters and urethra.
  • Benign prostatic hyperplasia.
  • Prostate cancer.
  • Urolithiasis disease.
  • Kidney cysts.
  • Hydronephrosis.
  • Varicocele.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist