Dr Ian Smith - Urological Surgeon

BSc (Med) MBBS FRACS (Urol)

Robotic Surgery

Dr Ian Smith offers Robotic Surgery to the New England area. He is credentialed to operate at Chris O'Brien Life House Cancer Center in Sydney, as well as St George Private Hospital. Robotic Surgery is also now available locally at Tamara private hospital.

A Radical Prostatectomy performed with robotic assistance, using the da Vinci XI Intuitive Surgical system is the most advanced technological surgery available today. The benefits of having a Prostatectomy using robotic assistance are;

The robot allows for minimally invasive surgical techniques, resulting in faster recovery times and shorter hospital stays.

The magnification and vision the da Vinci robot provides the surgeon is far superior to any other surgical approach.

The wrist like manipulation of the instruments via the key hole approach, allow for greater dexterity and a wider range of movement than traditional laparoscopic instruments.

This technology allows the surgeon to have greater consistency in the results of a Prostatectomy.

Faster return of erectile function and lower rates of urinary incontinence 12 months post procedure.

Fewer days with cauterization

Less blood loss with this minimally invasive technique

Lower risk of wound infection or procedure complications

How is a Prostatectomy Performed with Robotic Assistance:

The surgery itself will take approximately 3 - 4 hours and you can expect to have 6 small incisions. Dr Smith will be sitting at the Robotic Console located next to the patient. A surgical assistant will be at the patients bedside, inserting and changing the robotic instruments as requested by Dr Smith. There is a dissection phase where Dr Smith will remove your prostate and the cancer involved. He will then reconstruct the anatomy, placing a catheter in situ to support this reconstruction. During the procedure Dr Smith will decide to remove the lymph nodes or not, depending on the pathology results taken while operating.

Currently there is no robot in Tamworth or Armidale, so those patients wishing to undertake this advanced procedure will need to travel to Sydney. The advantage of having a local specialist undertake this surgery is the continuity of care. Dr Smith will see you prior to the surgery and be able to go through any questions you have. He will then travel to Sydney and perform the Prostatectomy with the da Vinci XI Intuitive Surgical System. He will co-ordinate your post operative catheter management locally and if you have any concerns will ensure you can see him at his consulting rooms in Tamworth or Armidale. Importantly Dr Smith will be able to continue to provide you with Urological imput into your care and management once the procedure is done. Having ongoing continuity of specialist care locally with a Surgeon who knows your anatomy and cancer is important.