Urologic Surgery

Ranked among the "Best Regional Hospitals" in the New York Metro area by U.S. News & World Report for Urology, Northern Westchester Hospital provides quality, patient-centered urologic care and expertise, close to home.

Our experts in minimally invasive and robot-assisted surgery at Northern Westchester Hospital New York treat urological conditions such as prostate cancer, kidney cancer, gall stones and gall bladder disease, and urinary tract obstructions.

Prostate Cancer and Prostatectomy

Prostate cancer is a disease in which malignant (cancer) cells form inside the prostate. Worldwide, more than 900,000 men were diagnosed with prostate cancer in 2008, making it the second most common cancer in men behind lung cancer.(1)

Treatment options for prostate cancer may include radiation (either external beam or seed implants) or cryotherapy. However, surgery is the only treatment that actually removes the cancerous prostate from the body. When prostate cancer is detected early, radical prostatectomy—surgical removal of the prostate gland—offers patients a potential cure.(2)

If your doctor recommends surgery, you may be a candidate for the very effective, minimally invasive da Vinci robotic surgery for prostate cancer. This robotic-assisted surgery utilizes leading-edge technology is designed to help your doctor perform the most precise and least invasive prostate cancer surgery available today. Recent clinical studies suggest that da Vinci robot assisted Prostatectomy may offer excellent cancer control (3,4,5), while speeding recovery of urinary continence and sexual function.(4,6)

Quick Links

View a robot-assisted prostatectomy procedure 

Watch this video to understand the difference between traditional open surgery and robotic assisted surgery with the da Vinci Surgical System 

View your treatment options for Prostate Cancer

Download and view the da Vinci Surgical System brochure for more information

View Frequently Asked Questions

Northern Westchester Hospital's Clinical Trials Program helps our patients access major medical advancements close to home.  Visit Northern Westchester Hospital's Clinical Trials Program to see if there is a study that's right for you:  www.nwhc.net/clinicaltrials


Kidney Cancer

The function of the kidneys is to remove toxic by-products and excess fluids from the body by producing urine, which is then stored in the bladder until it is emptied. This process helps to maintain a critical balance of salt, potassium and acid.

In the U.S., more than 13,000 people die from kidney cancer each year.(7) Overall, kidney cancer is more common in men and is usually diagnosed after age 40.(7) Fortunately, with early diagnosis and treatment, kidney cancer can be cured and has a survival rate of about 60 percent.(8)

See a patient relay his experience with robot-assisted nephrectomy.

da Vinci Surgery for Kidney Cancer

Kidney cancer is relatively resistant to noninvasive treatments like radiation and chemotherapy.(9) As a result, a proven standard treatment for localized kidney cancer is surgery.(9) The precision, vision and control of the da Vinci Surgical System allows your surgeon to conduct precise, minimally invasive surgery to treat kidney cancer. This robotically assisted approach may also enable your surgeon to remove just the tumor, thereby preserving your kidney and helping to prevent future kidney disease and even dialysis.

Advanced 3-D Surgical Imaging and Visualization

At Northern Westchester Hospital, surgeons utilize florescence imaging and a new 3-D High-definition camera system to greatly enhance the images of tissue, tumors, and surrounding blood vessels during complex kidney surgery. This advanced imaging system enables better visualization by injecting a unique fluorescent dye that is activated by near-infrared light. This enhanced visualization provides surgeons with a finer assessment of anatomical landmarks thereby enabling more precise and delicate kidney operations.


Gallstones and Gallbladder Diseases (cholecystectomy)

Gallbladder disease includes inflammation, infection, or blockage (obstruction) of the gallbladder. The most common blockage is gallstones, which are as small as a grain of sand or in some cases as large as a golf ball. Gallbladder disease is very common and affects about 10-15% of adults in Europe and the U.S.(1)

Treatment for gallbladder disease may include routine medical care, medication, and lifestyle changes. However, depending on how severe your symptoms are, doctors may need to conduct surgery to remove your gallbladder in a procedure known as a cholecystectomy.

If you have been told you need gallbladder surgery, ask your doctor about Single-Site da Vinci Surgery, which can be performed through a single incision (typically through in the belly button). This virtually scarless approach is intended to speed recovery, minimize pain, reduce blood loss and complications, while offering the added benefit of minimal scarring. Speak with your doctor to see if this approach is right for you.

View this procedure here


Urinary Tract Obstruction and Pyeloplasty

A common condition affecting the urinary system is blockage (obstruction) of the ureters, the narrow tubes that carry urine from the kidneys to the bladder. Urinary tract obstruction is frequently present at birth, but can also result from illness or injury. Blockages can cause acute pain and serious side effects. If left untreated, they can cause chronic pain and damage the kidney over time.

Depending on the type of urinary condition, your doctor may recommend a surgical procedure known as pyeloplasty to clear the obstruction and restore normal flow of urine through the urinary tract. During pyeloplasty surgery, your doctor will reattach the healthy part of the kidney to the healthy part of the ureter—the narrow tubes that carry urine from the kidneys to the bladder.

If your doctor recommends surgery, you may be a candidate for da Vinci robot-assisted minimally invasive surgery. Leading-edge da Vinci technology enables your surgeon to perform complex operations through a few tiny incisions with a high degree of precision, dexterity and control.

Ask your doctor if da Vinci pyeloplasty surgery is right for you.


REFERENCES

1) W.H.O. Globoscan 2008. Country Fast Stats. http://globocan.iarc.fr/.

2) Prostate cancer clinical guideline update panel. Guideline for the management of clinically localized prostate cancer: 2007 update.

Linthicum (MD): American Urological Association Education and Research, Inc. 2007; 82.

3) Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon’s outcomes. Urology. 2004 May; 63(5): 819-22.

4) Rocco B, Matei DV, Melegari S, Ospina JC, Mazzoleni F, Errico G, Mastropasqua M, Santoro L, Detti S, de Cobelli O. Robotic vs open prostatectomy in a laparoscopically naive centre: a matched-pair analysis. BJU International. Published Online: 5 May 2009. DOI 10.1111/j.1464-410X.2009.08532.×.

5) Barocas DA, Salem S, Kordan Y, Herrell SD, Chang SS, Clark PE, Davis R, Baumgartner R, Phillips S, Cookson MS, Smith JA Jr. Robotic assisted laparoscopic prostatectomy versus radical retropubic prostatectomy for clinically localized prostate cancer: comparison of short-term biochemical recurrence-free survival. J Urol. 2010 Mar;183(3):990-6. Epub 2010 Jan 18.

6) Ficarra V, Novara G, Fracalanza S, et al. A prospective, non-randomized trial comparing robot-assisted laparoscopic and retropubic radical prostatectomy in one European institution. BJU Int. Mar 5 2009;104(4):534-539.

7) http://info.cancerresearchuk.org/cancerstats/types/kidney/incidence/?view=PrinterFriendly&a=5441#ageandsex.

8) http://www.cancer.org/ downloads/CRI/CRC_-KIDNEY_(Adult)CANCER.pdf

9) “Kidney Cancer”, www.cancer.net; http://www.cancer.net/patient/Cancer+Types/

Kidney+Cancer?sectionTitle=Treatment.

10) Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone disease. Lancet. 2006 Jul 15;368(9531):230-9.