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Sebastian Ross
Sebastian Ross

Minimally Invasive Urology: An Essential Clinic...



For more than a decade, Essentia has offered robotic-assisted urologic surgery at some of its hospitals. Robotic surgery involves the use of very sophisticated equipment to perform minimally invasive surgical procedures. One or two surgeons operate the robot during each procedure, and this robotic-assisted approach improves the surgeon's view, precision, and control. Robotic surgery has been proven to improve surgical outcomes.




Minimally Invasive Urology: An Essential Clinic...



Dr. Stephen Savage graduated from Dartmouth College in 1989, completed medical school at the Columbia University College of Physicians and Surgeons in 1993 and received his urology training at the Mount Sinai Medical Center in New York City in 1999. He went on to receive fellowship training in minimally invasive urology at the Cleveland Clinic Foundation. Following completion of his fellowship, he was the director of minimally invasive urology at Mount Sinai Medical Center from 2000 through 2002 when he joined the staff at Memorial Sloan Kettering Cancer Center to help develop their minimally invasive urologic oncology program. He joined the staff at the Medical University of South Carolina and Hollings Cancer Center in 2004 as an associate professor of urology and director of minimally invasive urology.Dr. Savage has interest and expertise in the minimally invasive treatment of urologic cancers including prostate, kidney, bladder and testicular. He has performed complex minimally invasive surgeries since 1999 and continues to utilize these techniques to benefit patients in the approach to urologic cancer. He has published numerous articles related to urologic cancers and participates in many multidisciplinary clinical trials. He is the vice chairman of the Department of Urology and is the director of the urologic oncology fellowship at MUSC.


Our team performs minimally invasive robotic procedures, which can correct many urological issues with less trauma and much quicker recovery times than standard surgery. Some of our minimally invasive techniques include partial kidney surgery and robotic prostatectomy.


The Miriam Hospital is the only hospital in Rhode Island, and one of only three in New England, to offer blue light cystoscopy to diagnose and treat tumors in the bladder. Blue light cystoscopy is a minimally invasive procedure that enhances bladder cancer detection and diagnostic abilities.


The daVinci surgical system is a sophisticated, minimally invasive approach that uses advanced technology to help our surgeons perform surgery with greater precision than conventional instrumentation allows. This 3D, high-definition, high-magnification system incorporates the best techniques of open surgery and applies them to a robot-assisted procedure.


We offer UroLift treatment to men who have enlarged, non-cancerous prostate, known as benign prostatic hyperplasia (BPH). This procedure, performed in a minimally invasive manner, pulls and holds the enlarged prostate back using a suture, allowing the unobstructed passage of urine. This outpatient procedure does not involve any cutting, heating or removing of prostate tissue and does not cause sexual or ejaculatory dysfunction.


We are now the leading institution in Illinois in minimally invasive management of urological cancer and benign urologic disease. We offer national expertise in urological cancer, laparoscopic urological surgery, prostate disease, female urology, reconstructive surgery and pediatric urology. Our team offers a unique concept in which each of us focuses on a narrow aspect of our field. This allows superior specialization in different urological diseases providing unparalleled personal experience and expertise for our patients.


Every year we have two residents graduate our urology residency program, one fellow graduate our minimally invasive fellowship program and one post doctoral basic science graduate. Most of our graduates choose to pursue academic and leadership careers.


With a complement of well-trained generalists and subspecialists, we are able to address a broad spectrum of urologic problems. Utilizing the latest minimally invasive as well as traditional techniques, we are able to focus on our mission of superb patient care and education, as we prepare the next generation of Urologists.


An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic.


Our physicians are experts in all treatment options, including minimally invasive procedures that are popular because ofthe potential for shorter hospital stays and quicker recovery times. We are one of a few centers in the country offeringrobotic-assisted laparoscopic procedures for both children and adults. Our minimally invasive surgery team is headedby a world expert who helped establish robotic surgery in the field of urology and traveled the globe initiating urologicrobotic surgery programs.


The robotic system allows surgeons to use minimally invasive techniques to perform a variety of procedures in adults and children in the fields of urology, gynecology, thoracic, general, bariatric, ENT and renal transplant.


Starting with the 2005 applicants, the Urology Residency Program at Columbia Urology became a six-year program. The program is fully accredited, and received the maximum five-year accreditation in July 2010. Presently, we accept three residents per year. The first 12 months (internship year) are spent on various general surgery rotations in the Department of Surgery at New York-Presbyterian/Columbia, with monthly rotations through various surgical sub-specialties including four months in Urology. The subsequent five years are spent entirely in urology training: four clinical years and one research year. Residents obtain comprehensive training in adult and pediatric urology through direct interaction with our faculty in office and hospital settings. Didactic sessions are provided through weekly tumor boards, grand rounds, and core curriculum lectures, as well as monthly journal clubs. Residents are able to develop and hone their laparoscopic and robotic skills in our minimally invasive surgery laboratory, which includes laparoscopic and robotic trainers (MIMIC System).


The main clinical goal is for the fellow to be intimately involved in the preoperative planning, intraoperative treatment and postoperative care of patients presenting to the robotic and endourology service at URMC. Specifically, this includes performing (1) robotic procedures including; prostatectomy, partial and radical nephrectomy, cystectomy with intracorporeal diversion, pyeloplasty and other reconstructive surgeries and (2) endourology procedures including; ureteroscopies, percutaneous nephrolithotomy, various procedures for BPH as well as minimally invasive treatment for benign urologic pathologies.


Our training sites offer in-house experience in all aspects of open Urologic surgery; laparoscopic, robotic and minimally invasive surgery; endoscopic surgery; female urology; pediatric urology; microsurgery, oncology; and office surgical procedures. Residents are afforded the opportunity for out-rotations at well-respected academic institutions should they desire.


In summary, the cooperative relationship with MGL, community urologists, and MSU/COM, as well as daily subspecialty exposure to pediatric urology and robotic/minimally invasive surgery makes Sparrow Hospital a solid training site.


The urologists at Weiss Memorial Hospital provide treatment for a wide range of urologic conditions and diseases using minimally invasive techniques. These laparoscopic tools may offer you an easier, shorter recovery period.Need Help?


After surgery, the prostate, urethra, and surrounding tissues may be irritated and swollen, causing urinary retention. To prevent urinary retention, a urologist inserts a Foley catheter so urine can drain freely out of the bladder. A Foley catheter has a balloon on the end that the urologist inserts into the bladder. Once the balloon is inside the bladder, the urologist fills it with sterile water to keep the catheter in place. Men who undergo minimally invasive procedures may not need a Foley catheter.


We feature a board-certified breast surgery specialist on the medical staff with decades of experience managing breast disease, using minimally invasive procedures to preserve the breast when possible, and if needed, breast surgery with reconstruction to restore the natural appearance and feel of breasts.


Our vascular surgery department is a recognized leader in the minimally invasive treatment of aortic aneurysms and arterial blockage of the arms, legs, kidneys and other blood vessels, as well as disorders of the venous system.


In addition to the above, we feature OBGYNs on our medical staff who perform a full range of minimally invasive gynecological procedures such as removing cysts, removing a thin layer of tissue that lines the uterus, and removing ovaries.


They will perform robotic assisted and pure laparoscopic surgery with our Kaiser Permanente surgeons, led by Dr. Marc Chuang, a board-certified urologist who routinely performs a high volume of minimally invasive surgeries, such as: robotic-assisted laparoscopic radical prostatectomy, robotic-assisted radical cystectomy, robotic partial and radical nephrectomy, robotic or laparoscopic pyeloplasty, and open oncologic surgery. Robotic surgeries will be performed with the da Vinci Si surgical system at a new state-of-the-art hospital.


Dr. Turner has practiced urological surgery in Alaska since 1994. He was a founding partner of Alaska Urology in 1997. He has authored numerous publications in basic science and clinical research, as well as delivering oral presentations. Dr. Turner is trained in minimally invasive surgical techniques in treating diseases of the prostate, kidney, and female urinary incontinence. Dr. Turner has specialized in da Vinci Robotic surgery since 2005. 041b061a72


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