Minimally Invasive Surgery

Minimally Invasive Surgery

The physicians of Brandywine Urology Consultants are experts in a variety of minimally invasive and laparoscopic surgeries and procedures. Our surgeons are able to perform about 90 percent of all urologic abdominal surgeries using laparoscopic/robotic technology–including the removal of kidney and prostate cancers with the same success rates as traditional surgery, while significantly shortening patient recovery.

Dr. Steve Terranova and Dr. Chris Mitchell are highly trained, experienced robotic and laparoscopic surgeons for Brandywine Urology Consultants.  Together they have developed a high volume robotic surgery practice at BUC.

Dr. Terranova completed a fellowship in Laparoscopy (minimally invasive surgery) and Endourology (scope and stone management) at Duke University Medical Center in Durham, NC. He specializes in laparoscopic and robotic management of malignant and benign urologic conditions and in the treatment and prevention of urinary stone disease.

Dr. Chris Mitchell completed a fellowship in Laparoscopy (minimally invasive surgery) and Endourology (scope and stone management) at the Vanderbilt Medical Center in Nashville, Tennessee. Dr. Mitchell specializes in laparoscopic and robotic management of malignant and benign diseases of the genitourinary tract, including partial nephrectomy for kidney tumors, prostatectomy for prostate cancer and complex ureteral reconstruction. He currently serves as the Director of Robotic Surgery for Christiana Care Health System.

Both Drs. Terranova and Mitchell bring expertise in some of the most advanced and complex minimally invasive robotic surgical techniques in the field of urology today.

Benefits to Consider

Our experts employ the latest minimally invasive techniques to spare the nerves responsible for sexual function. Our surgeons are able to remove prostate cancers while preserving urinary function.

The benefits of laparoscopic surgery include much shorter hospital stay, shorter recuperation time, and less pain.

Because the incisions that are needed for laparoscopic surgery are small, scarring is minimal–often resembling birthmarks when fully healed. In some cases, we can even choose the placement of the incisions so that scars are hidden or not as noticeable.

At the Forefront of Robotic Surgery MinimallyInvasiveUrologicSurgery2

Drs. Steven Terranova and Chris Mitchell perform minimally invasive surgery using the da Vinci Surgical System.

Like standard laparoscopy, surgeries performed using the Da Vinci system allow patients to return home more quickly–and with less scarring–than with open surgeries. The team has performed more robotic urologic surgeries than any other program in Delaware.

World-Class Surgeons

The surgeons of Brandywine Urology Consultants are experts in a variety of diseases and conditions. These types of minimally invasive surgeries require completely different skills than open surgeries. Our surgeons go through rigorous training to perform these procedures–over and above traditional surgical training. The physicians here are highly skilled and committed to sharing their knowledge with others.

When medication and other non-surgical treatments are unavailable or cannot relieve symptoms, surgery is the recommended treatment for many conditions that affect the male reproductive organs and urinary tract organs. These conditions include, among other things, prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder and kidney cancer and vesicoureteral reflux.

Fortunately, less invasive surgical options are available to many people facing urologic surgery. The most common is laparoscopy, which uses small incisions. Laparoscopy can be very effective for many routine procedures, but due to the surgical instruments involved, it is typically not used for more complex urologic surgeries.

da Vinci® Surgery

The da Vinci® Surgical System is being used by many surgeons worldwide for prostatectomy and other urologic procedures. It is a minimally invasive approach, using the latest in surgical and robotics technologies and is ideal for both complex and delicate urologic surgeries. This includes prostatectomy, where the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function.

da Vinci Surgery offers patients facing urologic surgery many potential benefits over traditional open surgery, including:

  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Shorter hospital stay
  • Faster return to normal daily activities

MinimallyInvasiveUrologicSurgery3da Vinci® Prostatectomy

da Vinci Prostatectomy is the #1 choice for treatment of localized prostate cancer in the United States.

Thanks to a breakthrough surgical technology, surgeons now widely offer a minimally invasive option for prostatectomy, the da Vinci Prostatectomy.

Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, a shorter hospital stay, faster return to normal daily activities – as well as the potential for better clinical outcomes.

In prostate cancer treatment, millimeters matter. Nerve fibers and blood vessels are attached to the prostate gland. To spare these nerves, they must be delicately and precisely separated from the prostate before its removal. Surgeons use the precision, vision and control provided by da Vinci to assist them in removal of the cancerous prostate while preserving important nerves and blood vessels.

In terms of cancer control, in several large published studies, da Vinci Prostatectomy has shown equal or lower rates of positive surgical margins (meaning margins with cancer cells left behind) than large studies of other forms of surgery.

Other great concerns for prostate cancer patients: urinary continence and sexual function after treatment. Studies show patients who undergo a da Vinci Prostatectomy may experience a faster return of urinary continence following surgery. Several studies also show that patients who are potent prior to surgery have experienced a high level of recovery of sexual function (defined as an erection for intercourse) within a year following da Vinci Surgery. Talk to your surgeon about reasonable expectations for recovery of sexual function and a rehabilitation program that may include exercises and drug therapy.

It is important to know that da Vinci Surgery does not place a robot at the controls; your surgeon is always in control of every aspect of the surgery with the assistance of the da Vinci robotic surgical system.