Dr Pokorny has provided the following information about medical procedures and treatments for urological conditions, including:
Dr Pokorny uses the da Vinci® robotic surgical system to perform complex cancer surgery and other urological procedures via keyhole surgery. The da Vinci® was first launched in 1999, and the current models include the da Vinci® Si and the latest Xi model. Dr Pokorny has significant experience with both machines for robotic assisted laparoscopic surgery of the prostate, kidneys and bladder, and has performed over 250 robotic procedures.
Robotic radical prostatectomy (for cancer)
In this procedure, the prostate is removed for prostate cancer and the bladder is joined to the urethra.
Robotic radical nephrectomy
In this procedure, the entire kidney is removed via robotic keyhole surgery for a large tumour, or a tumour that cannot be removed while sparing the kidney itself.
Robotic partial nephrectomy
This operation involves robotic keyhole-assisted surgery to remove just a tumour and a small margin of normal kidney tissue, allowing preservation of most of the kidney.
Pyeloplasty involves a repair to scarring or narrowing of the outflow of the kidney (the junction of the renal pelvis and ureter), which is usually present from birth but often detected later in life. The unique characteristics of the robotic instruments allow a very fine and precise repair in this delicate operation.
Robotic simple prostatectomy – enucleation
This procedure is performed for men with a very large prostate who have significant problems urinating. The inner part of the prostate is removed through keyhole surgery using the robot, by approaching the prostate through the bladder itself. This allows maximum removal of overgrown, benign (non-cancerous) prostate tissue to allow a significant improvement in symptoms and quality of life.
Robotic sacrocolpopexy for pelvic organ prolapse
Pelvic organ prolapse in women can be debilitating and embarrassing. Robotic sacrocolpopexy involves a keyhole operation to lift the pelvic organs - bladder/vagina and uterus/rectum, back into their normal anatomical positions to relieve problems of leakage, pain and discomfort caused by the prolapse. This involves lifting the organs with the assistance of an internal mesh attached to the sacrum.