Physicians and researchers at Ohio State are leaders in using robotic surgery for prostate surgery, the most common urologic robotic surgery, but are using their expertise to extend the use of robotics to urologic conditions once thought too complex to treat with minimally invasive techniques.
Robotic urologic surgery utilizes the latest robotic assisted technology to remove cancerous tissue with less disruption of surrounding healthy tissue and with less blood loss than traditional open surgery. Our physicians perform more robotic surgeries for prostate cancer than any other hospital in the state. The high number of robotic surgeries performed annually speaks to the expertise of our physicians who have dedicated their training and practice to an emphasis on treating patients with robotic surgery, even for the most complex and difficult-to-treat conditions and for those who have been denied it elsewhere.
As new procedures are developed, patients are given treatment options not available other places. Some of the more complex and challenging patient cases include those who have had radiation, obese patients, and those with advanced cancer or other serious health conditions.
Urologic conditions treated robotically at Ohio State include:
• Prostate cancer
• Kidney tumors (partial and radical nephrectomy)
• Bladder cancer
• Adrenal masses
• Urinary tract obstructions
• Urinary Incontinence
• UPJ (ureteropelvic junction) obstructions
• Ureteral strictures
• Other benign and malignant conditions of the urinary tract
The two major side effects of prostate cancer surgery are erectile dysfunction (affecting sexual function) and incontinence of urine. The amount of time it takes for each patient to return to preoperative function is different.
Ohio State has the only team in central Ohio dedicated solely to erectile rehabilitation and helping men return to sexual activity after surgery, which allows patients to be proactive in their care. Additional team members help men speed their return of urinary control with further options (including surgical) for the few patients who do not naturally return to their preoperative level.
A prostate cancer support group, offered through the cancer program at The James, meets monthly to provide patients and survivors of prostate cancer with a round table discussion about treatment options, side effects, coping mechanisms, updates and support from survivors and healthcare professionals. A women’s group meets simultaneously to provide support for partners of men with prostate cancer.
Robotic Urologic Surgery Training
Experts at Ohio State are passionate about offering the best quality robotic surgery to their patients, and about improving current techniques and teaching others advanced robotic surgery techniques. Surgeons from around the country and even other countries visit Ohio State to observe and learn more about robotic surgery for kidney and prostate cancers. Robotic surgical procedures have also been transmitted to major urology conferences for education of other urologic surgeons.
The next generation of surgeons also benefit from the expertise of robotic surgeons at Ohio State. A Robotic Urologic Surgery Fellowship allows those who have completed their urology training to spend an extra year pursuing further training specifically in robotic surgery. Also, since 2009 Ohio State has hosted an annual urology preceptorship for residents from around the country. This is the only program of its kind designed specifically for robotic surgery.
The Center for Minimally Invasive Surgery, in collaboration with the Center for Advanced Robotic Surgery, also offers training programs for practicing physicians and staff, including a course on robotic program development and allied health professional robotic team training.