Advanced Robotic Techniques Prostatectomy
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Overview

A prostate cancer diagnosis means navigating a maze of confusing treatment choices. These may include radiation treatments, cryosurgery, conventional open or robotic prostatectomy or careful monitoring of the cancer without immediate treatment ("active surveillance").

Most men with a prostate cancer diagnosis share a number of serious concerns. The main concern should be treating, or removing, the cancerous prostate to stop the carcinoma from spreading. Another worry is how well bowel, urinary, and sexual functions will recover after treatment; and concerns about dealing with the rigors of the prostate cancer treatment itself. There is also the very important question of where to have the selected prostate cancer treatment and by whom.

No one method of treatment is universally "best" for everyone; each treatment method has its advantages and drawbacks. However, we believe that the ART™ technique of robotic surgery offers very significant advantages that make it the right choice for many patients. Our treatment addresses your most important concerns.

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Dr. Ash Tewari, MD
Chairman of Urology
Mount Sinai School of Medicine
Clinic Phone: (212) 241-9955
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Cancer Control
Nearly 95% of all organ-confined ART™ patients receive a negative surgical margin (no cancer is found on the specimen surface) on their surgical pathology report. In published long term follow-up studies performed by Dr. Tewari, this cancer control can translate to an over 90% 10-year survival rate in select patients.
ART™ Surgery
ART™ prostate surgery is minimally invasive. The instruments used are inserted through very small openings [more about ART™], transfusions are rare, pain medication is required sparingly, if at all, and the typical hospital stay is just 24 hours. The patient is discharged with instructions to get plenty of walking exercise and typically returns to our office seven days after discharge from the hospital to have his urinary catheter removed– in a five-minute outpatient procedure. Catheter removal may also be performed by the patient's regular urologist, should the patient be unable to return to Dr. Tewari's office.
Recovering After Surgery
The ART™ robotic surgical method is remarkable for its success in minimizing the effects treatment may have on bowel, urinary, and sexual functioning.
  • Bowel symptoms, which can be a troublesome side effect of radiation treatment, are experienced by less than 2% of ART™ patients.
  • Fully 87% of patients who experienced normal sexual functioning before surgery, and are candidates for nerve sparing, returned to function after ART™ surgical treatment.
  • Recovery of urinary continence, which may be problematic any prostatectomy, is also improved with robotic surgery. Dr. Tewari's pioneering technique of bladder support reconstruction, a standard component of the ART™ procedure, is achieving continence in 80% of his patients at 1 month after surgery, and in 97% of his patients at 6 months after surgery!
Selecting a Surgeon

Experience counts! The more procedures a physician performs, the better his results tend to be.

Dr. Tewari has performed over 5000 robotic prostatectomies. One of the leading experts in the field of robotic prostatectomy, Dr. Tewari is an award-winning physician recognized by such prestigious medical groups as the American Urological Society. With research funded by grants from the The Prostate Cancer Foundation and others, Dr. Tewari's pioneering studies in nerve preservation and urinary system reconstruction have significantly advanced the science of robotic surgery.

Dr. Tewari's team includes specialists in anatomy, imaging, pathology, anesthesiology, as well as researchers, fellows, and specially trained nursing personnel. He performs surgery in state-of-the-art facilities at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, located in the heart of Manhattan.

Make an Appointment

You deserve every advantage in fighting this disease. Contact us for a consultation and we will evaluate your case and answer any questions you may have. Call us at (646) 574-8233 to request an appointment with Dr. Tewari.