Radical prostatectomy involves removal of the prostate, seminal vesicles and, in many cases, the pelvic lymph nodes. It can be performed through either an open or robotic approach. In localised prostate cancer, this operation is used with the goal of cancer cure. In high-risk or advanced disease, radical prostatectomy can be used in combination with radiotherapy and androgen deprivation therapy (an approach called multimodality therapy) to maximise cancer control and delay time to disease progression. In most cases, prostatectomy is paired with robotic pelvic lymph node dissection for cancer staging purposes.
Robotic partial nephrectomy
Partial nephrectomy involves removal of only that part of the kidney that contains cancer. Sparing as much tissue as possible reduces the risk of future kidney failure, especially in patients at high risk of chronic kidney disease due to pre-existing medical conditions. Where technically feasible, partial nephrectomy is considered the standard of care for smaller, localised tumours. It has the same cure rate as removing the entire kidney and can be performed through open, laparoscopic and robotic approaches.
Nephroureterectomy is performed for urothelial carcinoma, which is a cancer that arises from the cells lining the urinary tract. Since these cells are found in the ureter as well as the kidney, the entire ureter must also be removed. Nephrouretectomy can be performed through open, laparoscopic and robotic approaches.
Pelviureteric junction obstruction (PUJO) is a condition where the drainage of urine from the kidney is blocked, either due to narrowing of the ureter or an abnormal artery causing compression. This can cause problems such as frequent kidney stones, recurrent infections and kidney failure. In robotic pyeloplasty the obstructing tissue is removed and the ureter refashioned so that the kidney may drain properly.
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