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Minimally Invasive & Robotic Surgery

Overview

We are proud to offer da Vinci surgery at Saint Francis hospital in Wilmington and both Christiana Care hospital campuses in Wilmington and Newark!

Brandywine Urology Consultants has the largest number of board certified urologists in Delaware who specialize in performing laparoscopic and robotic assisted procedures/surgeries.  

Trust the experts and receive the best care from our dedicated, fellowship trained surgeons.  Our surgeons are able to perform about 90% of all urologic abdominal surgeries with these minimally invasive options.

Meet Our Robotically Trained Surgeons

Benefits included, but are not limited to:

  • Decreased risk of infection
  • Decreased scarring
  • Quicker recovery time and ability to return to activities of daily life or ADL’s
  • Less pain at the surgical site resulting in administration of pain medications
  • Minimal complications
  • Shorter hospital stay
  • Decreased blood loss during the procedure
  • Covered by most insurance policies

World-Class Surgeons

The surgeons of Brandywine Urology Consultants are experts in a variety of diseases and conditions. These types of minimally invasive surgeries require completely different skills than open surgeries. Our surgeons go through rigorous training to perform these procedures–over and above traditional surgical training. The physicians here are highly skilled and committed to sharing their knowledge with others.

When medication and other non-surgical treatments are unavailable or cannot relieve symptoms, surgery is the recommended treatment for many conditions that affect the male reproductive organs and urinary tract organs. These conditions include, among other things, prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder and kidney cancer and vesicoureteral reflux.

Fortunately, less invasive surgical options are available to many people facing urologic surgery. The most common is laparoscopy, which uses small incisions. Laparoscopy can be very effective for many routine procedures, but due to the surgical instruments involved, it is typically not used for more complex urologic surgeries.

da Vinci® Surgery

The da Vinci® Surgical System is being used by many surgeons worldwide for prostatectomy and other urologic procedures. It is a minimally invasive approach, using the latest in surgical and robotics technologies and is ideal for both complex and delicate urologic surgeries. This includes prostatectomy, where the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function.

da Vinci Surgery offers patients facing urologic surgery many potential benefits over traditional open surgery, including:

  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Shorter hospital stay
  • Faster return to normal daily activities

da Vinci® Prostatectomy

da Vinci Prostatectomy is the #1 choice for treatment of localized prostate cancer in the United States.

Thanks to a breakthrough surgical technology, surgeons now widely offer a minimally invasive option for prostatectomy, the da Vinci Prostatectomy.

Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, a shorter hospital stay, faster return to normal daily activities – as well as the potential for better clinical outcomes.

In prostate cancer treatment, millimeters matter. Nerve fibers and blood vessels are attached to the prostate gland. To spare these nerves, they must be delicately and precisely separated from the prostate before its removal. Surgeons use the precision, vision and control provided by da Vinci to assist them in removal of the cancerous prostate while preserving important nerves and blood vessels.

In terms of cancer control, in several large published studies, da Vinci Prostatectomy has shown equal or lower rates of positive surgical margins (meaning margins with cancer cells left behind) than large studies of other forms of surgery.

Other great concerns for prostate cancer patients: urinary continence and sexual function after treatment. Studies show patients who undergo a da Vinci Prostatectomy may experience a faster return of urinary continence following surgery. Several studies also show that patients who are potent prior to surgery have experienced a high level of recovery of sexual function (defined as an erection for intercourse) within a year following da Vinci Surgery. Talk to your surgeon about reasonable expectations for recovery of sexual function and a rehabilitation program that may include exercises and drug therapy.

It is important to know that da Vinci Surgery does not place a robot at the controls; your surgeon is always in control of every aspect of the surgery with the assistance of the da Vinci robotic surgical system.

Sacrocolpopexy

A sacrocolpopexy is a surgical procedure used to treat pelvic organ prolapse. Pelvic organ prolapse is a condition that is caused by a weakening of the normal support of the pelvic floor, and is similar to a hernia in the vagina.  The surgeon attaches surgical mesh from the vagina to the tail bone (sacrum) which is located at the base of the spine.  If the women still has her uterus the surgeon may decide that it has to be removed, with or without leaving the cervix in place.  If the women’s cervix is left in place, the surgical mesh will be applied over the top of the cervix and to the vaginal walls to promote total support of the pelvic floor.

Cystectomy

Cystectomy is the surgical removal of the bladder most commonly performed in patients with large, muscle-invasive bladder cancer.  Using the da Vinci machine, our surgeons are able to fully remove the bladder and create an Artificial Urinary Sphincter (AUS) to promote healthy urinary flow or reconstruct the urinary tract.

For some men, bladder removal surgery causes sexual side effects. Men may have difficulty getting and maintaining erections. Women may also experience sexual side effects. While intercourse is still possible, it may cause discomfort if doctors remove part of the vagina. The nerves that are responsible for arousal and orgasm are sometimes affected during radical cystectomy.

Request an Appointment

Please fill in our Request an Appointment form and we will respond to you within 24 business hours. The more details you can provide, the more effectively we can assist you. Many patient issues can be successfully addressed by logging into our Patient Portal.
If this is of an urgent nature, please call us at 302-652-8990.
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More Practice Areas

General Urology Care

It is our intention to provide you with some background information to help you understand the condition which you may be experiencing.

Learn More

Male Infertility

Infertility is a common yet complex problem affecting approximately 15% of couples attempting to conceive a baby. In up to 50% of couples having difficulty getting pregnant, the problem is at least in part related to male reproductive issues.

Learn More

Cancer Care

The physicians of Brandywine Urology Consultants are high trained and experienced in treating all varieties of urologic cancers; Adrenal, Bladder, Kidney, Prostate, Testicular, and Urethral.

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