Novel Surgical Procedures

By Mayo Clinic Staff

Laparoscopic nephrectomy

Unlike conventional surgery, which requires one large incision, laparoscopic surgery is done through several small openings in the abdomen. For patients, that means improved cosmetic outcome, less postoperative pain and a quicker recovery, thus a faster return to work and normal activities.

Who is a candidate for laparoscopic nephrectomy?

Other laparoscopic procedures

Laparoscopic radical prostatectomy is an alternative to standard surgery for removing a cancerous prostate. It can be used in patients who meet special criteria and offers benefits in recovery.

Radical perineal prostatectomy

Although not a new procedure, this technique of removing the prostate for patients afflicted with prostate cancer is associated with significantly less blood loss, a hospital stay of less than 48 hours and a fast recovery.

Bladder reconstruction

Many men and women with bladder cancer require bladder removal to cure their cancer. Unfortunately, the procedure, called a radical cystectomy, requires the creation of a urinary stoma for urine collection which, although effective, is not aesthetically or socially acceptable to many patients. By using the patient's own intestines, we can create a new bladder that closely resembles and functions like the original organ. We have recently reported our experience with this technique and found that in the majority of both male and female patients, excellent urinary control was achieved. In addition, quality of life and self-image were improved significantly.

Brachytherapy (radioactive seed implantation)

In conjunction with Radiation Oncology, a comprehensive program is available to men with prostate cancer who are candidates for this treatment. Many patients have been treated with brachytherapy with excellent results. However, we emphasize individual, customized treatment so that only patients who are good candidates for seed implantation are treated.

Organ-sparing surgery for kidney cancer

Traditionally, the treatment for kidney cancer has been to remove the entire kidney. However, it has recently been shown that in the right patients, removing only the portion of the kidney affected by a tumor offers equal results with the advantage of preserving more renal function.

Minimally invasive techniques for benign prostatic hyperplasia (BPH)

Minimally invasive, outpatient procedures for BPH include indigo laser therapy and microwave thermal therapy.

Anti-incontinence surgery for men and women

Urinary incontinence is a frequent problem that may not respond to conservative measures. Mayo Clinic's incontinence unit offers the latest in surgical correction, such as sling procedures and artificial urinary sphincters. By appropriately selecting the right procedure for each patient, this severe condition can be improved in almost all cases. In addition, our staff offers national expertise in anti-incontinence injection therapies.

Penile reconstructive surgery

In men with Peyronie's disease (abnormal curvature of the penis), reconstructive surgery can straighten the penis with excellent functional results. Similarly, penile prosthetic surgery is offered to individuals for whom other forms of treatment for erectile dysfunction have failed.

Percutaneous radiofrequency ablation of kidney tumors

This new technique involves placing a small probe directly into the kidney tumor and obliterating the tumor using radiofrequency energy. This is an outpatient procedure done under local anesthesia and does not require overnight hospitalization. Patients also avoid a large incision.