Complications are rare, but no procedure is completely free of risk. If you are planning to have a robot-assisted urologic procedure, your doctor will review a list of possible complications, which may include:
—a test that uses sound waves to visualize the inside of the body
—a type of x-ray that uses a computer to create images of structures inside the body
—a test that uses powerful magnets and radiowaves to create images of structures inside the body
—a lighted tube equipped with a camera used to visualize the inside of the urethra and bladder
Leading up to the procedure:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
Anti-inflammatory drugs (eg,
Blood thinners such as
Take antibiotics if instructed.
Follow a special diet if instructed.
Shower the night before using antibacterial soap if instructed.
Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.
Eat a light meal the night before. Do not eat or drink anything after midnight.
will be used. It will block any pain and keep you asleep through the surgery.
Description of the Procedure
Several small keyhole incisions will be made in the abdomen. Carbon dioxide gas will be passed into the area. This will make it easier for the doctor to see the internal structures. The doctor will then pass a small camera, called an endoscope, through one of the incisions. The camera will light, magnify, and project the structures onto a video screen. The camera will be attached to one of the robotic arms. The other arms will hold instruments for grasping, cutting, dissecting, and suturing; for example:
While sitting at a console near the operating table, the doctor will look through lenses at a magnified 3D image of the inside of the body. Another doctor will stay by the table to adjust the camera and tools. With joystick-like controls and foot pedals, the doctor will do the surgery by guiding the robotic arms and tools. After the tools are removed, the doctor will use sutures or staples to close the surgical area.
How Long Will It Take?
About 2-4 hours (depending on the procedure)
Will It Hurt?
You will have pain and discomfort during recovery. Your doctor will give you pain medicine. You may also feel bloated or have pain in your shoulder from the gas used during the procedure. This can last up to three days.
Average Hospital Stay
About 1-2 days (depending on the procedure)
When you return home, do the following to help ensure a smooth recovery:
For some procedures, a urine catheter will be left in place for a while. You will be instructed on how to care for this.
If advised by your doctor, take antibiotics. You will need to avoid other medicines. Talk to your doctor about which ones.
While resting, keep your legs elevated. Move your legs to avoid blood clots.
Avoid taking a bath during the first two weeks after surgery.
Wash the incisions with mild soap and water.
Ask your doctor about when it is safe to shower, bathe, or soak in water.
Drink plenty of fluids. This will help to clear your bladder.
constipation. Eat a high-
diet. Drink plenty of water. Use stool softeners if necessary.
Avoid caffeinated beverages, alcohol, spicy foods, or other food or drink that might upset your stomach, intestines, or urinary tract.
Resume normal activities (eg, daily walks) soon. This will promote healing.
Limit certain activities (eg, driving, working, doing strenuous exercise) until you have recovered.
Be sure to follow your doctor's instructions.
Total recovery usually takes about 3-6 weeks.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Catheter stops draining or falls out (if you had a catheter placed)
Heavy bleeding or clots in the urine
Pain, burning, urgency, or increased frequency of urination
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
Abdominal swelling or pain
Constipation, nausea, vomiting, or diarrhea
Cough, shortness of breath, or chest pain
Pain and/or swelling in your feet, calves, or legs
Other worrisome symptoms
In case of an emergency, call for medical help right away.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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