The University of Texas Medical Branch urology team is celebrating the launch and ongoing expansion of single-port robotic surgery.
Single-port robotic surgery is a minimally invasive technique performed through a single incision, typically at the navel, using advanced robotic systems. Patients experience reduced scarring, less post-operative pain, quicker recovery times and improved cosmetic outcomes.
Since its launch in February, UTMB urology specialists Drs. Joseph Sonstein and Nicholas Sreshta have performed more than 40 robotic single-port procedures, including 35 robotic-assisted simple prostatectomies (benign prostatic hyperplasia procedure) and complex cases such as pyeloplasty (removal of a blockage or narrowing of the ureter that connects the kidney to the bladder), diverticulectomy (removal of enflamed or infected pouches from the bladder), partial cystectomy (removal of the urinary bladder) and pyelolithotomy (removal of kidney stones).
The use of single-port robotics procedures has resulted in same-day discharges for cases that would have traditionally required admission, zero readmissions to date and no adverse events related to positioning or insufflation—key improvements over previous systems.
“The single-port system is a versatile tool that allows access to difficult to reach areas while minimizing peri- and post-op issues,” Sreshta explained. “Specifically in the BPH world, where there is an abundance of procedural options for patients, our ability to remove all obstructing tissue, reconstruct the bladder opening and minimize both multiple incisions and transurethral trauma has given patients an option that can not only provide quicker/safer recovery but also eliminate future additional procedures on the prostate.”
The latest robotic surgical system used for the procedures at UTMB features:
- High-definition cameras and video with zoom capabilities to improve visualization
- Enhanced safety features designed to minimize potential risks to patients
- Dual console technology, allowing two surgeons to operate simultaneously
- Fluorescence imaging, allowing easier identification of blood vessels
Trainees in the urology department also assisted in the procedures, broadening the depth of their education to be leaders in best care as they graduate, said Stephen B. Williams, associate chief medical officer at UTMB Clear Lake
“The thoughtful and appropriate implementation of advanced surgical technology at UTMB reflects our broader commitment to high-value, patient-centered care and clinical innovation,” Williams said. “We look forward to continued collaboration as we build upon this success and integrate best practices across our system.”