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Urology

Pediatric Urology Treatment

The Pediatric Urology Robotics Program is part of the reason that the Division of Pediatric Urology at the Steven and Alexandra Cohen Children’s Medical Center of New York is the #1 ranked pediatric urology program in New York by US News and World Report. 

We offer the state-of-the-art Da Vinci system and the most sophisticated and experienced pediatric urology surgical team in the tri-state area.  Our dedicated and skilled team of surgeons, anesthesiologists, nurses, and technicians are specially trained in robotic surgery.  Children can now have reconstructive surgery on the urinary tract performed with the minimally invasive benefits of laparoscopy and the technical precision of open surgery.

During robotic surgery, the surgeon uses the assistance of a robot to operate on the patient through tiny holes (or ports) in the body instead of a large open incision. The camera is placed through one of these ports. Sitting at the console of the robot, the surgeon sees vital anatomical structures with 3-D high-definition clarity magnified six times their normal size. This enhanced clarity of vision sets the stage for a more precise robotic surgery procedure.

The other robotic arms are placed through the other ports and hold specialized instruments. The surgeon uses controls at the console to guide the movement of the robotic surgical instruments that reproduce the surgeon's delicate hand and finger movements. One major advantage of the da Vinci® system is the seven degrees of motion that mimic the motions of the human hand and wrist which  essentially eliminates tremor, and maximizes dexterity, precision and control. The robot can only respond to the surgeon's movements and motions, and it is incapable of moving on its own, thereby ensuring safe outcomes.

Benefits of Robotic Surgery
Compared to traditional open surgical procedures, the da Vinci® robotic surgery system results in exceptional benefits for children and adolescents, including:
 

  • Tiny 5-8 millimeter incisions instead of one large incision
  • Minimize blood loss
  • Optimal recovery
  • Quick return to normal diet
  • Fewer complications
  • Less pain than open surgery
  • Shorter length of stay in hospital
  • Reduced appearance of scarring
  • Faster return to normal daily activities
     

A quicker recovery means that children and adolescents, as well as their families, return to normal activities sooner.
 

Robotic Surgery Procedures

  • Pyeloplasty – reconstructive surgery that corrects the cause of the obstructed kidney and reconnects the ureter to the kidney
  • Nephrectomy – removal of a non-functioning kidney
  • Partial Nephrectomy – removal of a portion of kidney with poor or no function
  • Renal Cyst Ablation – removal of large cyst of the kidney
  • Ureteral Reimplantation – reconstructive surgery to correct reflux of urine from the bladder back to the kidney
  • Urachal Cyst Excision – removal of the tube that carries urine of the fetus.  This usually closes before birth but may not or may become infected and removal becomes necessary
  • Mitrofanoff Procedure – reconstructive surgery in which the appendix is connected to the bladder and then to the abdomen allowing patients who require catheterization to perform this more effectively
  • ACE (Malone) Procedure – surgery aimed to allow patients to perform enemas in an antegrade fashion by bringing the appendix to the abdomen
     

Make an Appointment with our Pediatric Urology Specialists:
Cohen Children’s Medical Center makes it easy for you to take the first steps in ensuring your child receives world-class pediatric urology care. To make an appointment with one of pediatric specialists, simply call 516-466-6953.
 

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