For more than a decade, surgeons in the Section of Urology have incorporated a robotic surgical system called da Vinci by Intuitive Surgical into multiple urologic procedures. Our surgeons currently perform:
- Robotic laparoscopic kidney removal (nephrectomy)
- Reconstruction of narrowing in the ureter (pyeloplasty)
- Removal of the adrenal gland (adrenalectomy)
- Removal of the prostate for cancer (radical prostatectomy)
- Removal of the bladder for bladder cancer (radical cystectomy and ileoconduit)
Currently, the robot is used mostly for laparoscopic radical prostatectomy and laparoscopic radical cystectomy. The advantages of the robotic surgery include 3-D visualization, elimination of surgeon's tremor, increased degrees of freedom with the laparoscopic instruments and an ergonomic sitting position at the surgical console, reducing fatigue during surgery for the main surgeon.
Botox Injection for Hyperactive Bladders
Our specialists at the University of Chicago Medicine were some of the first urologists in the country to use Botox® to treat the symptoms caused by overactive bladder. When pharmaceutical agents fail, Botox® is shown to reduce urinary urgency, frequency and urge incontinence in many who suffer from these symptoms.
Botox® is administered in the operating room under conscious sedation anesthesia. First, a camera is inserted into the urethra so that the bladder's interior surface can be fully seen by the physician. Without making any incisions, small injections of Botox® are delivered to the bladder's muscular wall. The procedure takes about 30 minutes.