Medical Center: 210-615-1600 | Downtown: 210-704-4708

Robotic Surgery



One of the most exciting new frontiers in the field of pediatric urology is the use of minimally invasive surgical techniques in caring for our young patients. These include laparoscopic, endoscopic and robotic surgical techniques. Although traditional laparoscopic (or keyhole) surgery has been in use for decades, the use of surgical robots to assist in laparoscopic procedures is a newer development in our specialty.

Robot assisted laparoscopic surgery (or robotic surgery for short) uses familiar laparoscopic surgical techniques with the added advantage of the use of robotic arms to perform the procedure. It’s main advantages include significant improvement in optics with a 3D high definition camera, and the multiple degrees of freedom of surgical instruments provided by the robotic arms. Fine motor skills that could not be accomplished with traditional laparoscopy without great difficulty can now be easily accomplished with this technology.


Courtesy of Intuitive

Of course, the advantages of minimally invasive surgery such as smaller incisions, faster recovery, less need for pain medications, and improved cosmesis are also realized with these techniques.

Many surgical procedures can be amenable to this approach including kidney surgery (removal or nephrectomy, pyeloplasty, ureteral surgeries), bladder surgeries (partial cystectomy, removal of urachus, ureteral reimplant, diverticulectomy), stone procedures (cystolitholapaxy, ureterolithotomy or pyelolithotomy) and even major urinary tract and bowel reconstruction (bladder augmentation, continent diversion, Malone procedure, bladder neck reconstruction).

Our group of highly trained, experienced, and dedicated urologists look forward to using these tools to provide the most effective and up to date care for our patients possible.


Drs. Prieto and Marks using the
da Vinci® Robotic Surgery System


Photos are of Actual Patients/Procedures