Urologic Treatment Options

Urologic Robotic Surgery - Dr Brian Hu

Dr. Brian Hu says Loma Linda is on the cutting edge of robotic surgery and that its integrated team approach provides better outcomes and a quicker recovery for patients needing urologic surgery.

Robotic surgery can be used to treat a variety of urologic concerns. At Loma Linda University Medical Center, we offer a variety of treatment options for men with prostate cancer, enlarged prostates, renal cysts and other urologic conditions. To find out patient instructions for urologic robotic surgery procedures, please click here

Call 909-558-2830

Radical Prostatectomy

Prostate cancer treatment options can range from “watchful waiting” (monitoring of the tumor) to radical prostatectomy (removal of the prostate gland).

Several other options include, robotic or open surgery, cryotherapy and hormone therapy along with proton beam therapy.

Robotic prostatectomies are one of the latest options for treatment of prostate cancer. Some of the benefits include:

  • Less blood loss and scarring than with open surgery.
  • Fewer complications, including less risk of infection.
  • Reduced pain-less narcotics.
  • Shorter hospitalization.
  • Quicker return to normal activities.
  • Reduced risk of incontinence and impotence.

Ureter or Pyeloplasty Robotic Surgery

Pyeloplasty is a surgical procedure performed to remove a blockage in the ureter, which is the muscular tube that drains urine from the kidney to the bladder. Each of the two kidneys is connected to a separate ureter. Some people are born with the blockages in the ureter, but without becoming a noticeable problem until later in life. Others blockages develop from kidney stones or scar tissue.

During pyeloplasty, an incision is made in the side of the abdomen, and the surgeon reconstructs the renal pelvis to remove the blockage. The healthy sections are then reattached to the renal pelvic tissue. In some surgeries, tubes are placed in the ureter to drain urine. If a tube is used, it can be easily removed at a doctor’s office following surgery.

If your doctor recommends surgery, you might be a candidate for a minimally invasive robotic procedure. Robot-assisted pyeloplasty at the Loma Linda University Medical Center’s Minimally Invasive Robotic Surgery Program uses the state-of-the-art da Vinci Surgical System.

Kidney Surgery and Kidney Donor Surgery

Kidney cancer is relatively resistant to non-invasive treatments like radiation and chemotherapy. As a result, the gold standard treatment for localized kidney cancer is surgery.

Kidney surgery is traditionally performed using an open approach, which requires a large abdominal incision. Another approach, conventional laparascopy, is less invasive but limits the doctor’s precsision, viualization and control compared to open surgery.

Da Vinci Surgery for kidney cancer uses the best techniques of open surgery and applies them to a robotic-assisted, minimally invasive approach.

Partial Nephrectomy (kidney)

Utilizing the precision of the robotic arms, surgeons are able to remove a small tumor from a patient's kidney without removing the entire kidney.

Bladder Cancer Surgery

A robotic radical cystectomy is the removal of the bladder, prostate, seminal vesicles and part of the vas deferens due to bladder cancer that has spread into the bladder wall or refused to respond to treatment.

For years, cystectomy was performed using a traditional open surgical procedure and therefore with more tissue and nerve damage, significant blood loss and carried a greater risk of post-op infections and complications. By comparison, the robotic-assisted laparoscopic cystectomy (also known as Da Vinci Robotic cystectomy is the newest and most effective minimally invasive bladder cancer surgical method. By offering your surgeon a high-def 3-D view, the Da Vinci Surgical Robot allows the vital muscles and nerve tissues, surrounding the operative area to be more easily identified-and spared.