Robotic-Assisted Da Vinci Prostatectomy Surgery at Urological Clinic of TUM University Hospital Rechts der Isar

DaVinci prostatectomy is a unique robotic-assisted surgery to remove the prostate gland, the tumor, the seminal vesicles, and nearby lymph nodes. The operation preserves potency and a controlled urination process. The surgeon DaVinci has manipulators capable of 360-degree rotation in any plane. That allows doctors to reach hard-to-reach places and ensures safe work in the pelvic area, where space is limited. DaVinci prostate surgery is performed under general anesthesia. First, several punctures up to 1 cm are made to introduce an endoscopic instrument. Then, 3D video cameras and manipulators are inserted into the cavity through them. Next, the robot's hands, like a human wrist, perform manipulations on tissues. The doctor controls the process using a joystick. The prostate separates from the urethra and bladder and is removed from the pelvic cavity. Then, the integrity of the urinary tract is restored, and the urethra connects to the bladder. DaVinci prostatectomy is completed with the installation of a catheter. All surgical interventions take about 2 hours. The operation is not traumatic, so a blood transfusion is not required, and complications are minimal compared to traditional prostate surgeries. Two days later, the patient is discharged, and two weeks later, he is already engaged in daily activities. At the MRI Urology Clinic in Munich, da Vinci robot-assisted surgery has been part of their surgical routine since 2009, positioning the team as an early adopter of this minimally invasive technology in the city. For prostate cancer, the clinic offers a function-preserving radical prostatectomy using the da Vinci system, designed to remove the prostate in a controlled, minimally invasive way while prioritizing protection of critical structures in the pelvic area.