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Urology

We provide state-of-the-art surgical and nonsurgical diagnosis and treatment of the genitourinary system. Our urologists' combined experience, skill, and compassion enables us to give patients the highest quality urologic care.

Robotic Surgery for Prostate Cancer

Westmed Medical Group offers unique expertise in treating patients using the da Vinci® system. Dr. Boczko is fellowship trained in robotic and laparoscopic urology and is a leader in this field. Only a handful of other urologists in New York State have similarly mastered the complex, high-tech skills required to do both robotic and laparoscopic surgery.

The da Vinci® Surgical System

The da Vinci® Surgical System is a robotic surgical system consisting of three main components:

  • InSite® Vision System
  • Surgical Cart
  • Surgeon Console

The InSite® Vision System provides the surgeon with a minimally invasive, 3-D view of the surgical field. It is the only system with true 3-D vision showing depth of field and resolution.  The 3-D image aligned over the master controls provides natural hand-eye coordination that is inherent in open surgery.

The da Vinci® Surgical System from Intuitive Surgical, Inc. is enabling the next generation of surgery and can be used for a wide variety of procedures across multiple specialties.  Incorporating the latest advancement in robotic and computer technology, the da Vinci® Surgical System is the only operative surgical robot that has been deemed safe and effective by the U.S. Food and Drug Administration for actually performing surgery.  This system enables a minimally invasive alternative to open surgery and is the only operative robotic system cleared for radical prostatectomy procedure.

Benefits Of The da Vinci® Surgical System

With its 3-D view and its 10x optical magnification, the da Vinci® Surgical System allows our team to more easily identify vital anatomy, such as the delicate nerves surrounding the prostate and the prostate edges themselves.  Using this technology, we are also able to perform complex minimally invasive procedures as if he/she were performing open surgery procedures without the fatigue experienced in a long procedure.

Additional benefits to our patients:

  • Reduced bleeding
  • Less pain
  • Smaller risk of internal scarring
  • Shorter hospital stay
  • Faster recovery
  • Greater return to continence
  • Potency rates improved

FAQS

What does robotic prostatectomy mean?

This is an operation that is also called da Vinci® Prostatectomy.  It is a minimally invasive procedure that utilizes the da Vinci robot and the latest technology in computer software to aid in the removal of the prostate.  The da Vinci® Surgical System is a robotic surgical system consisting of three main components: the InSite® Vision System, the Surgical Cart and the Surgeon Console.

 

Is this a new operation?

No, this technique has been around since 2003 and continues to be refined.  As head of robotic urology at Greenwich Hospital, Dr. Boczko, along with the Westmed team, make sure to always have the latest versions of the da Vinci® system and its equipment.

 

Am I a candidate?

Most men with localized prostate cancer are candidates for robotic prostatectomy. Recent data show that age, large prostates, obesity, and prior hernia or intra-abdominal surgery are not contraindications for robotic prostatectomy.  However, not everyone is a candidate, and a urologist must make that determination with the patient.

 

Are there restrictions after the operation?

No weight-bearing activity of greater than 15 pounds should be done until six weeks after the operation. This includes golfing (not putting), running, gym exercises, construction work and the like. Walking and non-weight-bearing activity is encouraged, and a patient should be able to go back to work within two to five weeks as long as it does not involve any of the restricted activities.

 

Schedule an appointment with a Westmed Urologist to learn more information.