Robotic Prostate Surgery

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Prostate Cancer – Robotic Prostate Surgery

After doing my homework, I decided Dr Kella was the best choice for me. Six weeks after surgery, I was back to myself and even summited Mt Kilimanjaro, the highest peak in Africa! “

-Dr Joseph Diaz

Robotic Prostate Surgery

Dr. Naveen Kella at The Urology Place is a fellowship-trained, nationally recognized leader in robotic prostate surgery in the United States. One of the nation’s top robotic prostate surgeons, Dr. Kella has performed over 2,200 robotic prostatectomies from start to finish, ranking him one of the most experienced surgeons not only in Texas, but in the entire country.

Why choose robotic prostate surgery with Dr. Kella

If you have been diagnosed with prostate cancer, you may have heard about robotic prostate surgery, or robotic prostatectomy. Many patients initially feel overwhelmed with a prostate cancer diagnosis. At The Urology Place, we specialize in the treatment of prostate cancer and work with our patients to help them make informed, appropriate decisions for their particular case. After treating thousands of prostate cancer patients, we have become known for our prostate cancer outcomes. Dr. Naveen Kella performs 100% of the robotic prostatectomies at The Urology Place.  Dr. Kella and his expert surgical team have been working together for over 10 years, making it one of the most specialized teams in the nation for prostate cancer removal. We employ specialized procedures to avoid heat from cautery and minimize tension, two key factors in recovery.

Click the video above to learn more about the Propep monitoring system

Video on ProPep Nerve Monitoring with Dr. Kella

Robotic prostate surgery…video of actual surgery

What other people say about us

Dr Kella sharing his expertise with prostate cancer in the news

Robotic prostate recovery…video from a patient’s perspective

Three Months after Robotic Prostate Surgery with Dr Kella

A Case Study: Urinary Leakage After Robotic Prostate Surgery

Urinary leakage is one of the most common side effects of prostate cancer surgery. As a result, many patients have to wear a pad for a period of time following their surgery. Pads have to be switched out throughout the day as they are filled with urine.

In the following study, the extent of post-surgical urinary leakage was measured among a subset of robotic surgery patients. The other surgeons in the study have performed many robotic prostatectomies, but are not as experienced as Dr. Kella. The purpose of the study was to see if there was a measurable improvement in outcome with increased surgical experience. In other words, could a surgeon, through extensive study and experience, develop skills that could measurably improve patient outcomes? Specifically, would Dr. Kella’s patients experience less urinary leakage after robotic prostatectomy than patients of less experienced surgeons?

Dr Kella and Dr Joseph Diaz discuss robotic surgery

Study results indicated that experience and skill can reduce a patient’s chance of side effects. In this case, Dr. Kella’s patients experienced milder, less lengthy cases of urinary leakage than other surgeons in the study. Read more

Frequently Asked Questions

Cure rates for robotic and traditional prostatectomy are good when performed by an experienced surgeon. Data indicate that cancer removal may be more thorough with robotics, increasing the likelihood of cure. The robot eliminates much of the variability in open surgery, greatly reducing risks as compared to traditional open surgery, even when performed by an experienced surgeon.

During his extensive training and fellowship, Dr. Kella performed dozens of open and robotic surgeries. “In open cases, there are many instances in which the view of a patient’s anatomy is obstructed, especially during prostate surgeries because the area is so small,” states Dr. Kella. “For example, if a patient has a large pelvic bone, sometimes there’s just no way you can see the prostate around that bone during a traditional open-technique surgery. Before robots were available, we were trained to just remove the prostate by feel because that was our only option. When you can’t see what you’re operating on, it greatly increases the likelihood and frequency of bleeding, which is very risky to the patient. So risky, in fact, that if patients begin bleeding, our primary goal as a surgeon actually changes. We have to stop the patient from bleeding at that point, which can force a case to be completed in haste – compromising both muscle preservation and nerve sensation.”

“Having a robot with tiny little fingers that can now gently and easily travel right around that pelvic bone and give me a 3-dimensional view of the prostate is simply incredible. The precision it affords you is actually just amazing to watch – that’s one reason I recorded so many of my surgeries. Initially, I recorded them so that I could re-watch them and perfect my technique. Now I use the videos a lot to teach newer surgeons the techniques I have learned and developed over the years for different situations. It does take a really long time to become an expert at using the robot, but once you and your surgical team do, the outcomes really are priceless.”

Unlike many surgeons in this field, Dr. Kella carefully monitors all of his robotic prostate surgery outcomes and grades the impact of techniques. With experience and outcome studies, results can keep improving, even for a highly talented and seasoned surgeon. This fact is backed up by literature showing that prostate surgery outcomes improve with experience. Dr. Kella has performed over 2,200 procedures, making him one of the most experienced prostate surgeons in South Texas. Dr. Kella has presented and shared many videos with his colleagues, some of which are available on this page. There is also a link to an actual surgery available here.  The comments section features many positive comments from consumers as well as other physicians.

Propep nerve monitoring is a highly advanced technical device that Dr. Kella uses for real-time feedback on a patient’s nerve fiber response during surgery. “When you have the ability to detect even the slightest changes in nerve function as you are performing surgery, you can then carefully tailor your surgery to the patient in a way that best preserves their sexual and urinary function,” states Dr. Kella. And his outcomes show it. Studies show that compared with other surgeons, Dr. Kella’s patients experience some of the fastest recovery times in terms of regaining urinary control and sex function.

Dr. Kella has performed over 250 cases using the Propep monitoring system, where he has assessed, analyzed, and recorded nerve responses and function during surgery. Because of his extensive experience and understanding of nerve function response, he is able to speak with patients immediately after surgery as to the success of their nerve preservation. While the potential to achieve optimal results depends upon the individual patient, the odds of full recovery are increased when an experienced surgeon and team perform the procedure.


Robotic Prostatectomy with Dr Kella

A San Antonio urologist, Naveen Kella M.D. is the Founder of the Urology Place. He is one of the most experienced surgeons in the country with robotic prostate cancer surgery.

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