Prostate Problems

Treatment for prostate problems

Da Vinci® surgical system for prostate treatments

In the Andromedi Clinics (Seville, Tenerife and Madrid), always in constant search of adopting cutting-edge technology to give a better service to our patients, we permanently offer this novel robotic surgery in collaboration with Dr. Manuel Ruibal (director of the group Surgical Suturo, and doctors Antonio Medina

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Advantages of Robotic Surgery vs. Traditional Surgery

The advantages of this system are many compared to traditional surgery, which required large incisions in the skin to expose and cut the prostate, which carried quite a few risks.

The Da Vinci robor is the latest technology and innovation.

Why is surgery with the Da Vinci® robot the best option for the prostate?

The Da Vinci® robot has many features that make it the ideal ally for the urological surgeon to operate on the prostate since it has the latest technology in terms of millimeter and precise movement.

This robot does not work alone, behind it must be a highly trained person in performing surgical procedures and with extensive experience in the area of ​​prostatectomies.

If the movements are more precise, then fewer unnecessary cuts are produced, in less time and with a very reduced risk of possible surgical complications, thus giving a better prognosis to the disease and faster recovery from it.


Benefits for the patient

Advantages for the surgeon

When is the Da Vinci® robot the best option?

The Da Vinci® robotic technique is especially indicated in cases in which it is necessary to remove the prostate gland due to some type of infiltrating malignant neoplasm (carcinoma) that has not yet become a metastatic tumor, which means that it has not spread to other organs and tissues of the body.

In addition to prostate cancer, the Da Vinci® robot has shown excellent results and significant improvement in the treatment of benign prostatic hyperplasia in glandular volumes over 88cc and is, in fact, the treatment of choice in the most important centers of urological care around the world, like ours.

The reasons are obvious: this avant-garde technique preserves to the maximum the erectile function of the penis and the voluntary capacity of urination, understanding that conventional surgery very often tends to cut the innervation of this area, bringing with it uncomfortable, annoying and disabling sexual problems. urinals and even aesthetics.

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Procedimiento quirúrgico del robot Da Vinci


How is the surgical procedure?

Procedimiento quirúrgico del robot Da Vinci

Among the main questions asked by patients who will undergo the intervention are: 



How to prepare for surgery?

Before surgery, the patient should go to a consultation with an anesthesiologist to evaluate the body's response to certain drugs that will be necessary at the time of the operation.

Also, the treating doctor will order some laboratory tests such as general hematology and clotting times to review the general state of health along with some other tests such as X-rays and an electrocardiogram (especially if the patient is elderly or suffers from heart disease).

Throughout this process, the patient has the right to ask questions and the doctor has the duty to clarify them so that the patient can feel calm and confident in the procedure.

It is also recommended that the patient take care of his personal hygiene in the days before the surgery. This includes washing the pelvic and genital area with soap and water, and also shaving pubic hair when possible or and around the navel.

Anesthesia What type?

In order for the procedure to be completely safe and painless, general anesthesia adapted to the patient is used. This is determined from the preoperative consultation with the anesthesiology specialist, who will also accompany the entire surgical process, within the operating room.

Duration of surgery

The surgery varies in duration depending on the size of the prostate (due to the tumor), the structures attached to the gland (such as the nerves of the penis) and any other difficulties that may occur, but in general terms it lasts from 2 to 4 hours.

The Intervention What is it like?

Already inside the operating room and after administering anesthesia to the patient, the surgeon makes four or five small incisions about 8 mm long in the lower abdominal wall to insert the robotic instruments that will do the work.

The latter is performed and supervised (at all times) by an assistant surgeon. He will be with the patient and the Da Vinci® robot evaluating the procedure while the main surgeon executes the movements from the control console.

The robot will then go to the anatomical area of ​​the prostate and examine it (with a high-resolution video camera). This will allow you to evaluate the next moves. This way, you can determine where and how much to cut using the Da Vinci® system.

Once the prostate has been cut and separated from the neighboring anatomical structures, the same robot carefully pulls it out and finally, the incisions (both external and internal) are sutured and the procedure is complete.


What does the Da Vinci® System offer as the best option for open surgery?

Among the special characteristics of the Da Vinci® system, the following can be highlighted:

Postoperative recovery time

It is usually quite fast compared to other surgeries, between one and two weeks, in which the patient must take care of himself, remain in physical rest and go to the doctor when indicated. After this time, the patient can gradually resume their daily activities (such as going to work or exercising).

Post-operative care and advice

After the surgery, the patient receives all the necessary instructions to take care of the operative wounds (which are already tiny) from the comfort of home and the dates of the next medical consultations will be indicated to evaluate the progress of the surgery intervention. Basically and broadly speaking, postoperative care includes good hygiene of the area (to prevent infections) and avoiding intense physical activity that could injure or reopen the surgical wounds.

Possible complications of surgery

Possible complications of prostate surgery with the Da Vinci® robotic system include infections, minor bleeding, and pain (which is treated with over-the-counter pain relievers). Fortunately, these complications are usually extremely rare, but it is important that the patient is aware of them.

Sex after surgery: How long do I have to wait?

With a month of abstaining from sexual relations is enough, however, everything will depend on the doctor's instructions, but it could be even less than a month.

An innovative system

What is the Da Vinci® System technical instrumentation?

Behind the Da Vinci® robot are many years of scientific research and human and technological refinement to enable this marvel of modern surgery. This system consists of three fundamental elements:

Control console

The control console is nothing more than the place where the surgeon is located, on one side of the area where the surgical intervention will be performed (within the same operating room but away from the patient).

The urological surgeon sits comfortably in front of a console that has high-definition screens capable of giving the best images of the surgical area in real time (some in 3D) while also having in front of him the master controls that allow recognition the movements (with all its characters statistics such as intensity, force, frequency, amplitude, etc.) to be converted into computerized signals that will be transmitted to the robot.

Observation tower (or surgeon’s vision)

The observation tower is nothing more than the entire computerized HD image production and display system of the surgery. From there, the surgeon is aware of everything that happens inside the patient’s body and can carry out the necessary surgical techniques to cut and extract the prostate.

Surgical console

This is the robot itself, called the Da Vinci X® and it is located next to the patient’s table. This robot has four arms, each with a different surgical objective such as cutting, clamping, suturing, etc.

These arms receive direct orders from the central computer that collects the surgeon’s manual maneuvers and articulations at the same time that they are carried out within the control console.

The arms of the Da Vinci® robot have the ability to move at a wide variety of angles, tailored to the needs of the tissue and organ being operated on.

Da vinci herramientas robot

Other surgical applications

In addition to the Prostate, in what other treatments is this system useful?

Although this system is surprising and novel, it is currently only available (within the field of urological surgery) for protatectomies and pyeloplasties, but many other surgical interventions will soon be possible. It is an area in full development and is projected as the future of urological surgery.

Pyeloplasties are a type of surgery performed to treat obstructions located in an anatomical site of the kidney called the uteropelvic junction, which causes serious problems in kidney function, severe pain, and can endanger the integrity of the organ.

This constitutes a true urological emergency and must be treated immediately, as soon as it is diagnosed. In summary, the most demanded areas of application are these:

Técnicas y tratamientos

Why is prostate surgery performed?

The prostate is by far the main male organ that causes the most problems from the age of 45, but fortunately, highly sophisticated medical solutions like this are emerging more and more.

In this article we will talk about multiple aspects of robotic surgery with the Da Vinci® system to treat prostate diseases, which is a cutting-edge urological service that we offer in our clinics in Madrid, Seville and Canary Islands.

Prostate surgery is a definitive type of treatment for many major male gland conditions. Almost always, this surgical procedure contemplates the removal of a part (partial) or total of the prostate, depending on the degree of the disease and also, the extension of the same as a tumor.

In this next section, we will talk about the two predominant pathologies in the prostate and that, fortunately, they achieve in this type of novel surgical therapy, a definitive, effective and completely safe treatment for prostate cancer, the pudendal nerve entrapment syndrome (SANP) and the all too common prostatic enlargement (or BPH) in men over 45 years of age.


1. Benign Prostate Hyperplasia

It is necessary to start with this pathology for several compelling reasons, such as its high prevalence in the older male population, the large number of negative consequences it produces in sexual, reproductive and mental health, the serious complications to which it can give place if it is not effectively treated (such as malignant tumors) and the incredible results that are achieved after surgery with the Da Vinci® robot.

What is benign prostatic hyperplasia?

BPH, as it is better known, is nothing more than a non-cancerous enlargement of the prostate gland in men that can seriously hamper urination and of course, the quality of life of the patient who suffers from it.

Causes and how common it is

BPH is a disease that is associated with old age because it usually appears from the fifth decade of life, especially in those individuals with many risk factors such as poor eating habits, excessive alcohol consumption, smoking, sedentary lifestyle, obesity and of course, genetic predisposition and diabetes.

Its prevalence is very high, estimated at 50% in men aged 50 to 80 years and 88% in those over 80 years of age.

However, and despite its alarming presence in these age groups, a significant percentage of cases of prostate enlargement continue to be under-treated or undiagnosed due to shame or other social stigmas of going for urological check-ups or seeking help when symptoms begin to appear.

Symptoms of BPH

The first and most suggestive symptom is the decrease in the force of the urine stream (voiding flow) that makes that men feel pain and a greater need to push so that the liquid is eliminated through the penis.

In the most severe cases of BPH, the obstruction of the urethra may be complete and a urinary catheter must be inserted to drain the urine. This is dangerous and is considered a urological emergency as it could injure the delicate tissues of the kidneys or rupture the bladder.

Other symptoms of BPH include:

In the most severe cases of the disease, signs and symptoms could occur:

Diagnosis of BPH

Diagnosing this male health problem involves taking a clinical history of the patient in which important data is collected about the health history and lifestyle habits.

An important tool in the clinical history of the urological patient who consults for problems suggestive of prostate enlargement is the IPSS questionnaire, which, as a test, can classify the severity of symptoms into:

In addition to this questionnaire or IPSS Test, the prostate evaluation includes:

andromedi tratamiento titulares 02

"The treatment of benign prostate enlargement depends to a great extent on the age of the patient, the severity of the problem, the complications that may have arisen and of course, the response that the gland has had to the applied therapies.".

Treatment of BPH

The treatment of benign prostate enlargement depends to a great extent on the age of the patient, the severity of the problem, the complications that may have arisen and of course, the response that the gland has had to the applied therapies.

In the first instance, when the BPH is not very developed, it is periodically examined. In many cases, abnormal prostate growth starts but stops, reverses, or slows down after a few months or years on its own without treatment.

But if the problem continues or worsens, it is necessary to resort to:

Da vinci incision cirug´ñia

Surgery to treat BPH

Prostate surgery or adenomectomy is the main treatment for benign prostatic hyperplasia.

It is, in fact, the gold standard of all treatments for this pathology due to its very high capacity to obtain long-lasting and reliable results. However, the great problem with this technique is related to its surgical nature, which involves abdominal opening, bleeding, risk of infections, urinary incontinence, erectile dysfunction, etc.).

Fortunately, in the last decades a new method has been perfected that has already shown excellent results, compared to conventional surgery without the aggressiveness of the latter. This method is robotic surgery with the Da Vinci® surgical system.

What does the Da Vinci® robot do for BPH?

Whatever the surgical treatment, the key element is precision. Especially in this pathology, where an organ with as many implications for male reproductive health as the prostate is directly manipulated.

The Da Vinci® robot has excellent vision quality while it stands out for its fine, precise and exact movements. For this reason, this technique is today the surgical option of choice in the treatment of prostate hyperplasia.

This treatment is a minimally invasive and safe surgical intervention that is performed with a sophisticated robotic system controlled by the surgeon.

This specialist (the urological surgeon who is an expert in handling the Da Vinci® robot) operates the device by means of controls, sitting at a console a few meters away from the patient.

The system translates the surgeon’s maneuvers into real and precise movements in the patient’s body, thus reducing the possibility of failures and with an excellent visualization of the surgical field in real time by means of specialized video cameras.

But ... It's a robot ..

The term “robotic” is easily confused but the surgeon performs the surgery with and The Da Vinci® system using instruments that guide through a console.

The patient is accompanied by high-level professionals and monitored under a safe and well-controlled environment.

The Da Vinci® system translates the surgeon’s hand movements on the console in real time, bending and rotating the instruments as the procedure is performed. The fine and precise instruments of the apparatus move like a human hand but obviously with a greater range of motion.

This robot does not perform surgeries, it only executes movements with high accuracy under the orders of the surgeon, in which experience is key to obtaining the best results.

treatment summary

Prostate Cancer

This is short summary of the whole process: from the appointment request, to receiving the medical discharge after the treatment. Remember to visit us at our Andromedi centres in Madrid, Seville or Tenerife for more information.

Consultations Needed

Many. Like other types of cancer, cases often take many months or even years to follow up.

Treatment Type

Chemotherapy, radiotherapy and surgery are generally used. In prostate surgery, the gland is completely removed to prevent further growth.

Resuming Sex Life

A normal life will only be possible if treatment comes at the right time. There are times when incontinence and erectile dysfunction appear after the intervention.

Results and Waiting Periods

The results of prostate cancer surgery depend on many factors, but fortunately, they are almost always positive and with fewer sequelae.

Previous Advice

The patient should be aware of any new symptoms or worsening of the existing ones, so that the doctor can be informed in detail.

Further Tips

If the prostate is partially removed, new neoplastic foci may arise, so cutting back on unhealthy habits is something that the patient can contribute with.

Treating prostate cancer

2. What is prostate cancer?

Cancer of the prostate (or prostate) is the main type of malignancy that affects this male gland, especially after 65 years of age.

Prostatic carcinoma is the most common type of malignant tumor in adult men in Europe (450,000 new cases each year) and is the second leading cause of cancer death on this continent.

In this disease, malignant cells (with defective genetic material) are formed in an uncontrolled way within the different types of tissues of the gland, causing it to increase in size and threaten to compress neighboring structures or spread this malignancy to healthy cells elsewhere. of the male body.

Prostate cancer can go unnoticed for a long time, because it has a slow development and that in the early stages it does not produce significant symptoms, thus complicating treatment and among the most common symptoms, difficulty in urinating stands out (given the anatomy prostate).
Despite its high incidence, the survival rate for prostate cancer in Europe is relatively high and increases more each year.

According to the European Society of Urology (SEU), 80% of men diagnosed with this disease are still alive 10 years after diagnosis thanks to the effectiveness of available treatments and the greater precision of detection methods.

In Spain, the number of new cases each year is around 33,000 while the number of deaths is close to 6,000.

But how is this diagnosis made?

The diagnosis of this disease has several phases, the first of them seeks to rule out (or verify) the enlargement of the prostate through simple methods such as digital rectal examination and the second phase, confirms the problem using laboratory procedures such as blood levels of prostate antigen and a tissue biopsy.

The risk of developing prostate cancer increases with age and therefore it is advisable to carry out prostate controls from 50 years of age or from 45 years if there is a family history of the disease (parents, siblings or grandparents).

Fortunately, due to current scientific advances, the detection of prostate cancer is much faster and less cumbersome than in the past, significantly improving the quality of life of many patients if the diagnosis occurs in the early stages of tumor development.

Prostate Cancer Treatment

Treatment depends on the degree of involvement but can range from chemotherapy and radiotherapy to surgeries to remove tissue affected by cancer (called prostatectomies) in which the Da Vinci® system is currently the treatment of choice according to the recommendations of the International Societies of Urology.

The great Gold Standard of prostate cancer treatments is prostatectomy because it removes a significant amount of glandular tissue that is sensitive to continue growing uncontrollably, even with drug treatments and radiation therapy. As long as the carcinoma is confined to the tissues of the organ, surgery will eliminate the problem completely.

Prostatectomies aim to:



Prostatectomies are complex surgeries that require a high level of technical precision since a total (or almost total) removal of the prostate and surrounding tissues, such as some lymph nodes or seminal vesicles, is performed if there is dissemination of cancer cells in this area, but the great dilemma is the structures not involved in cancer that could be injured with the intervention such as the erectile nerves.



Prostatectomies are complex surgeries that require a high level of technical precision since a total (or almost total) removal of the prostate and surrounding tissues, such as some lymph nodes or seminal vesicles, is performed if there is dissemination of cancer cells in this area, but the great dilemma is the structures not involved in cancer that could be injured with the intervention such as the erectile nerves.

If the prostate gland is removed (at least by open surgery) it is likely that the nerves responsible for the erection of the penis will be dissected, which are anatomically closely related two with the prostate capsule, thus producing negative consequences for urinary and sexual function such as erectile dysfunction or ED.

However, surgical removal of the prostate continues to have advantages over other non-surgical treatments (chemotherapy, radiation therapy, etc.) such as:

Now, within surgery to treat prostate cancer, the Da Vinci® robot is by far the best option.

Its extremely high accuracy when locating and extracting cancer tissue from the prostate while taking care of neighboring structures, make it the ideal minimally invasive surgical method to treat this pathology.

andromedi tratamiento titulares 02

"Its extremely high accuracy when locating and extracting cancer tissue from the prostate while taking care of neighboring structures, make it the ideal minimally invasive surgical method to treat this pathology".

With the Da Vinci®, prostatectomies for prostate cancer usually have an efficiency level of more than 80% with:

With regard to complications and collateral effects after surgery, the Da Vinci® robot shows:


3. Pudendal nerve entrapment syndrome (SANP)

The first time this condition was described was less than forty years ago, in 1987 by Dr. Amarenco in a cyclist who reported chronic pelvic pain that was not relieved by analgesics.

Pudendal nerve entrapment syndrome or SANP is characterized by:

A Being highly disabling (can make even simple activities like walking difficult).

B It affects both women and men.

C It is more frequent than is believed but it is still underdiagnosed.

D The mean time from the onset of pain to an accurate diagnosis is five years.

But what is the pudendal nerve?

It originates in the sacral region of the spine by the union of three nerve roots and its main function is to carry and bring nerve impulses to the perineum and genitalia.

The sensitivity and motor function of the rectum, bladder, perineum, vagina and obviously, scrotum and penis in men depend on it.

For this reason, if the nerve is compressed or trapped between two structures (bone or muscle), the pain will be referred in one of these regions and this complicates the treatment because the doctor thinks that the problem is elsewhere.


SANP symptoms

Pain is usually present in almost all patients with this condition and can be referred to as burning, stinging, itching, cramps, numbness, etc. And also its intensity can vary.

There may also be problems with evacuation, urination and even sexual dysfunctions such as a tingling sensation in the external genitalia or loss of sensation.

SANP diagnosis

Because it is an internal structure, it is somewhat difficult to make a correct diagnosis with the naked eye and the basis of all this is a correct anamnesis (that is, the medical interview).

In this anamnesis it is important to inquire about the patient’s habits and thus, gather information about the origins of the pain and carry out a physical examination of the area.

With the physical examination the doctor will be able to evaluate the sensitivity of the area and if there are “sore spots” that may indicate the site of the nerve entrapment.


SANP treatment

The only way to decompress a trapped nerve as in this syndrome is to perform a surgical release.

The objective of this surgery is to reach the nerve compression focus to free it from the adjacent structures that hold it down, and the approach routes will largely depend on the exact location of the problem.

In the case of SANP, it is possible to access the compression site through the transgluteal (through the gluteal muscles), perineal (through the site between the anus and the genitals) or ischiorectal (near the rectum and the tuberosities of the ischium). However, these conventional techniques are very aggressive and tend to injure many structures producing inflammation and severe pain, especially if any muscle has been pierced.

But today, thanks to robotic surgery and the improvement of surgical techniques, it has allowed an approach to this region of the body from the front, in the abdomen. This makes it more direct, fast, precise and obviously less aggressive.

What can the Da Vinci® robot do for the SANP?

Da vinci operacion robot urologia

Given the great precision of the Da Vinci® robot with minimal damage to the tissues, the compressed pudendal nerve can be released in minutes, guaranteeing a quick, comfortable and painless recovery.

Also, there are fewer risks than in conventional surgery, such as nerve injury or the possibility of acquiring an infection in this area.

Pain relief from nerve compression is immediate after surgery and the hospital instance, very short (24 to 48 hours).

Da vinci operacion robot urologia
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"Given the great precision of the Da Vinci® robot with minimal damage to the tissues, the compressed pudendal nerve can be released in minutes, guaranteeing a quick, comfortable and painless recovery".

The Da Vinci® robot: the best option of all

In surgeries of any nerve, precision is essential to minimize the risk of injury or damage that can further aggravate the existing clinical picture and in this case, robotic surgery with the Da Vinci® system is the ideal option to achieve liberation. of the nerve.

Its excellent quality of vision and the incredible precision of its surgical instruments make it the best tool today to treat this medical problem quickly, safely and efficiently.

This type of minimally invasive procedure is performed using a state-of-the-art robotic system that is controlled by an experienced surgeon in its manipulation. The patient is always monitored and vital signs, controlled.

Know the prostate to understand its problems

The prostate is a small, circular gland the size of a walnut but highly important for the reproductive function of man.

This gland is just below the urinary bladder (where urine is stored from the kidneys until it is time to urinate) and in front of the rectum, but also, the prostate is located around the urethra.

This last morphological peculiarity of the gland makes it so special, since any increase in size (due to cancer, prostatitis or benign hyperplasia) will affect urinary function. Hence, it comes that many men with prostate cancer unknowingly go to the doctor because they perceive that they have to make a greater effort to urinate, they feel discomfort or they are leaking in the underpants.

Now, what is this gland for?

The prostate is key (along with the seminal glands) in the production of much of the seminal fluid that will allow the sperm to live long enough outside the human body of the male to fulfill its mission: to cross the vaginal canal, the uterus and the fallopian tubes until reaching the ovum and fertilizing it, inside the woman’s body.

The fluid that is synthesized in the prostate contains nourishing, protective, moisturizing and antimicrobial substances to take care of the sperm released from the testicles (a pair of glands located under the penis and inside the scrotum).

Also, the prostate has two other less known but no less important functions. One of them is that it acts as a kind of pump that helps expel semen during ejaculation (at the end of the male orgasm) and also serves as a valve that promotes the one-way flow of semen and prevents it from returning to the bladder instead of the penis. All this in such a tiny size.

Why Da Vinci® Robotic Surgery?


The benefits of robotic surgery in benign prostate hyperplasia are derived from two special characteristics:

A Maximum precision:

B Minimum aggressiveness:

Importance of the precision of prostate surgery

The prostate is a very delicate organ, not only because of its small size but also because of its close relationship with other structures.

The prostate is very small and is located inside the male pelvis. This represents a great challenge to surgeons and urologists who treat and operate through inter surgical procedures such as protatectomy.

Any wrong move can directly injure the bladder or urethra (accidental perforations, for example) or worse, sever the fine nerves that run along the sides of the prostate.

These nerves are very thin and their function is to innervate the penis. If they are injured, they can cause mild problems such as partial loss of penis sensitivity to stimuli to serious difficulties in inducing and maintaining erections.

Fortunately, these surgical incidents are rare, but they still occur during conventional surgeries. The difference is currently marked by the appearance of the Da Vinci X® robot that allows operating the prostate in a much safer way.

The movements are more delicate and better measured, which ensures greater precision and confidence of the surgeon when operating a prostate (as an example of multiple applications).

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Technical characteristics

4. Knowing more about the Da Vinci® Robot

The Da Vinci® robotic system was originally designed in today’s “mecca of technology”: Silicon Valley (USA) based on military patents by the Californian company Intuitive Surgical Inc in 1999. And since this advance, robotic surgery has been It has spread throughout the world thanks to the excellent results it has left and it seems that it is the future of surgical interventions.

The first of all these systems was developed by this same company incorporating technology designed by NASA engineers and at that first moment it received the name of “Da Vinci” thanks to the incredible accuracy and firmness with which complex movements could be executed for purposes therapeutic and also, in honor of an automatic machine that this artist and scientist devised in the Middle Ages.

Already in 2000, the Da Vinci® robot became the first robotic system operated by surgeons that was certified by the FDA (the main health agency in the USA) for surgical purposes for general, thoracic, cardiac, vascular, gynecological and otorhinolaryngological and since then, the system has not stopped being perfected and optimized, as well as finding new therapeutic targets such as in the pathology of the prostate gland.

Today, the Da Vinci® robotic system is the fourth generation (technically known as Da Vinci Xi®) and there are already more than 5,500 systems installed around the world, of which 3,000 are in the United States and almost 1,000 in Europe.

Another important characteristic of this system is that it is classified within the surgeries or minimally invasive medical procedures (CMI) with which it is possible to perform the same surgeries that were performed with the “open” or conventional modality but without the need for large incisions, only through small holes of less than one centimeter.

Surgical quality


The robotic platforms of the Da Vinci® system aim to achieve the highest surgical quality with excellent levels of safety, since its components have been carefully developed under the highest standards of reliability and precision.

Its surgical quality can be evidenced through its characteristics.


With a magnification of x12 that allows a finer vision during surgery.

3D, with greater precision than 2D technology.

Fixed, which prevents shaking of the hands and guarantees greater stability. The surgeon tends to become less fatigued and to perform better with hand movements.

Autonomy, where the surgeon himself is the one who directs the camera and not the assistant (as in laparoscopic surgery). 


With vessel sealants to minimize bleeding (automatically closes blood vessels that could bleed and therefore, blood loss is minimal compared to other procedures).

With immunofluorescence to reveal the blood and lymphatic vessels in the area.

With mechanical sutures for the fast and precise closure of the structures that have been dissected.


Small size instrumentation for microsurgery.

360 ° movement on 7 axes (greater than the human hand, which has only two axes).

Adjustable length, with which it is possible to access even the most hidden anatomical structures.


The surgeon can operate on the patient comfortably and seated in front of a console.

Significant reduction of fatigue in long-term surgeries.

Increased level of comfort and concentration for the surgeon.

With the ultra-fine vision of the Da Vinci® robot, the surgeon can have a better field of vision, even of the smallest or smallest structures such as blood vessels or nerves.

Excellence and Innovation

5. What do we offer in our clinics in Madrid, Seville and Tenerife and why do so many patients trust us?

In our clinic we know that excellence is in innovation and that is why we bring the best method to perform interventions quality surgical procedures: the Da Vinci X® Robotic Surgical System.

This system is safe, fast and efficient, with minimal probabilities of risks and operative complications. In addition to this, we have the best health personnel. The surgeons with the best experience and specially trained in the manipulation of this robot.

If you require this type of intervention, come to our clinic for an evaluation and you will receive personalized attention adapted to your needs. Contact us.

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