Urologie<\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/humainhealthcare.com\/wp-content\/uploads\/2025\/04\/robotic-surgery-barcelona-1.png” title_text=”robotic-surgery-barcelona” force_fullwidth=”on” _builder_version=”4.27.4″ _module_preset=”default” height=”500px” height_tablet=”” height_phone=”auto” height_last_edited=”on|phone” border_radii=”on|3px|3px|3px|3px” box_shadow_style=”preset1″ box_shadow_color=”rgba(0,0,0,0.03)” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”off|desktop” _builder_version=”4.27.4″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/humainhealthcare.com\/wp-content\/uploads\/2025\/04\/robotic-surgery-barcelona-1.png” background_size=”stretch” custom_margin=”||||false|false” custom_margin_tablet=”0px||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|tablet” custom_padding_tablet=”0px||0px||false|false” custom_padding_phone=”30px||30px||false|false” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_divider show_divider=”off” _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”315px||315px||true|false” custom_padding_tablet=”150px||150px||true|false” custom_padding_phone=”80px||80px||true|false” custom_padding_last_edited=”on|phone” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||0px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||0px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Unna||||||||” text_text_color=”#042C54″ text_font_size=”28px” text_line_height=”1.6em” link_text_color=”#042C54″ ul_line_height=”1.6em” header_2_font=”Unna|700|||on|||#000000|” header_2_text_color=”#000000″ header_4_font=”Unna|700|||||||” header_4_text_color=”#000080″ header_4_font_size=”30px” header_4_letter_spacing=”1px” custom_margin=”||||false|false” custom_margin_tablet=”||||false|false” custom_margin_phone=”||||false|false” custom_margin_last_edited=”on|phone” hover_enabled=”0″ text_font_size_tablet=”26px” text_font_size_phone=”20px” text_font_size_last_edited=”on|phone” header_4_font_size_tablet=”30px” header_4_font_size_phone=”26px” header_4_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]
Ur\u00e9t\u00e9roscopie, n\u00e9phrolithotomie percutan\u00e9e (RIRS), lithotritie extracorporelle<\/strong><\/p>[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Unna||||||||” text_text_color=”#000000″ text_font_size=”26px” text_line_height=”1.6em” text_font_size_tablet=”26px” text_font_size_phone=”20px” text_font_size_last_edited=”on|phone” global_colors_info=”{}”] L'ur\u00e9t\u00e9roscopie<\/strong> est un instrument permettant d'extraire les calculs r\u00e9naux. Elle est utilis\u00e9e lorsque le calcul est trop volumineux pour \u00eatre \u00e9vacu\u00e9 dans l'urine et n\u00e9cessite donc une intervention chirurgicale. Il s'agit d'une technique mini-invasive, car elle consiste \u00e0 ins\u00e9rer un petit endoscope dans la vessie par l'ur\u00e8tre, sans pratiquer d'incisions pour extraire le calcul. Le taux de r\u00e9ussite de cette technique est tr\u00e8s \u00e9lev\u00e9 et le risque de complications, tr\u00e8s faible.<\/p>\n Les traitements des calculs r\u00e9naux ont trois objectifs : pr\u00e9venir leur d\u00e9veloppement, r\u00e9soudre le calcul existant et \u00e9viter ses effets ind\u00e9sirables potentiels, et pr\u00e9venir sa r\u00e9cidive.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Unna||||||||” text_text_color=”#000000″ text_font_size=”26px” text_line_height=”1.6em” ul_line_height=”1.6em” header_2_font=”Unna|700||on||||#000000|” header_2_text_color=”#000080″ header_2_font_size=”42px” header_2_line_height=”1.2em” header_4_font=”Unna|700|||||||” header_4_text_color=”#000080″ header_4_font_size=”21px” 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[…]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"difl_page_category":[],"class_list":["post-893","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/pages\/893","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/comments?post=893"}],"version-history":[{"count":0,"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/pages\/893\/revisions"}],"wp:attachment":[{"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/media?parent=893"}],"wp:term":[{"taxonomy":"difl_page_category","embeddable":true,"href":"https:\/\/humainhealthcare.com\/fr\/wp-json\/wp\/v2\/difl_page_category?post=893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Cas dans lesquels une ur\u00e9t\u00e9roscopie est appropri\u00e9e :<\/h2>\n
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Cette technique est r\u00e9serv\u00e9e uniquement aux gros calculs r\u00e9naux, tels que :<\/h2>\n
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CANCER DE LA PROSTATE : PROSTATECTOMIE ROBOTIQUE<\/h2>\nRobotic prostatectomy in the treatment of prostate cancer overcomes the limitations of conventional laparoscopic surgery with more precise surgical interventions, especially in more complex and difficult-to-access prostates.\n\nWith this robotic surgery, we achieve a urinary continence rate close to 100% and preservation of sexual potency of around 90% in patients under 65 years of age. Due to the characteristics of the tumor, it allows us to preserve the nerves and vessels that determine male erection.\n\nBlood loss during the procedure, and therefore the need for transfusions, is 85% lower than with open surgery.[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Unna||||||||” text_text_color=”#000000″ text_font_size=”26px” text_line_height=”1.6em” ul_line_height=”1.6em” header_2_font=”Unna|700||on||||#000000|” header_2_text_color=”#000080″ header_2_font_size=”42px” header_2_line_height=”1.2em” header_4_font=”Unna|700|||||||” header_4_text_color=”#000080″ header_4_font_size=”21px” custom_margin=”||||false|false” custom_margin_tablet=”||||false|false” custom_margin_phone=”||||false|false” custom_margin_last_edited=”on|phone” hover_enabled=”0″ text_font_size_tablet=”26px” text_font_size_phone=”20px” text_font_size_last_edited=”on|desktop” header_2_font_size_tablet=”42px” header_2_font_size_phone=”30px” header_2_font_size_last_edited=”on|phone” header_2_line_height_tablet=”1.2em” header_2_line_height_phone=”1.2em” header_2_line_height_last_edited=”on|phone” global_colors_info=”{}” sticky_enabled=”0″]
HYPERTROPHIE DE LA PROSTATE : CHIRURGIE AU LASER<\/h2>\nProstatic photovaporization (greenlight laser) is considered a minimally invasive endoscopic treatment for lower urinary tract symptoms caused by obstruction due to prostatic hyperplasia.\n\nIt consists of the selective application of laser energy to prostate tissue for immediate elimination, thereby reducing prostatic obstruction and symptoms.\n\nIt is performed through the urethra without incisions and aims to increase the diameter of the prostatic urethra, allowing the patient to experience symptom relief and quickly return to daily activities.\n\nMinimally invasive surgical treatment with minimal impact on normal activity and minimal hospital stay.\n\nThe greenlight laser is best indicated for small and medium-sized prostates, although, depending on the surgeon’s experience, it can be used for large prostates. Although it can be performed on an outpatient basis, we recommend a 48-hour hospital stay so the urinary catheter can be removed the same day, and you can return to your normal activities as soon as possible.\n\n \n
CHIRURGIE DES TUMEURS DU REIN : N\u00c9PHRECTOMIE PARTIELLE LAPAROSCOPIQUE OU ROBOTIQUE<\/h2>\nThis is a minimally invasive surgery that allows for the removal of a portion of the kidney affected by cancer, along with the surrounding adipose tissue (fat), which is important for proper staging and prognosis. Laparoscopic partial nephrectomy is the treatment of choice for kidney cancer measuring less than 7 cm in size; however, it must meet certain technical requirements to make the surgery feasible and requires adequate experience in laparoscopy. It is usually performed under general anesthesia.\n\nThe patient will be hospitalized for 2-3 days, with an abdominal drain that will be removed before discharge and a urinary catheter, which is usually placed only for the first 24 hours.\n\nSince the surgical procedure is not as aggressive (since the surgical incision is minimal), postoperative pain is much less, and after the procedure, the patient is able to walk and perform their usual activities independently. Full recovery usually takes two weeks; however, it is important to be cautious and avoid excessive physical activity, as the body still needs time to reduce the inflammatory process from the surgery and heal.\n\n \n
AVANTAGES DE LA N\u00c9PHRECTOMIE ROBOTIQUE<\/h2>\nRobotic surgery is playing an increasingly important role in urological surgery. Rather than robotic surgery, the term “robotic-assisted surgery” would be more appropriate, given that the robot is a tool in the hands of the surgeon, who remains the operator of the surgery. The robot consists of three parts: a patient cart consisting of four robotic arms placed close to the patient; a console with a high-definition 3D display from which the seated surgeon directs the movements of the robotic arms; and a screen for the assistant who assists in the procedure.\n\nOne of the advantages of the robot is that it performs surgery with very small incisions, generally less than one centimeter: this reduces the patient’s postoperative pain and speeds recovery. Through these small incisions, the robot’s arms allow the surgeon to operate without tremors and with greater freedom of rotation and joint movement than the human wrist. This allows for extremely precise dissection movements, reducing bleeding, helping to remove pathological tissue, and preserving healthy tissue. This feature can contribute to excellent functional results.\n\nThe surgeon, seated at the console, can operate, reducing physical and therefore mental fatigue.\n\nNous pourrions donc r\u00e9sumer les avantages apport\u00e9s par le robot comme suit :<\/strong>\n
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CHIRURGIE DU CANCER DE LA VESSIE : TUR, CYSTECTOMIE ROBOTIQUE OU LAPAROSCOPIQUE<\/h2>\nWhen it comes to bladder cancer, early diagnosis and detailed pathological analysis are vital to determine the prognosis and treatment. For this purpose, TUR, or transurethral resection, is one of the most advanced techniques.\n\nBladder cancer is the 7th most common cancer in men and the 10th when both sexes are included. Bladder tumors are caused by the uncontrolled proliferation of groups of mucosal cells (transitional cells). These groups of cells may remain confined to the mucosa or may infiltrate the next layer, the muscle. Depending on the location of the tumor and its degree of aggressiveness, the patient will require different treatment. This is why early diagnosis and detailed pathological analysis are vital in bladder cancer.\n\nTransurethral resection of bladder tumors (TURB) is a minimally invasive surgical procedure with a dual purpose. It is used both for definitive diagnosis and as the first step in bladder cancer treatment, removing the tumor tissue.\n\nTURB involves the endoscopic removal of cancer cells from the bladder wall through the penis, without incisions or scarring.\n\nDuring this treatment, a visual examination of the entire bladder is performed to identify tumor lesions, followed by complete removal of the tumor tissue.\n\nOnce the tumor is removed, it is sent for analysis to determine the stage of the cancer and to adjust further treatment, if necessary.\n\nThere is less than a 10% risk of infection or injury with this technique.\n\nThe patient will be discharged from the hospital in 2-3 days. The postoperative period is quite bearable, with some mild pain and stinging in the area, which is effectively controlled with painkillers.\n\nA urinary catheter is not necessary beyond the first 48 hours after surgery.\n\nAfter surgery, you can resume your normal life but avoid sudden movements or exertion for about 4 weeks.\n\nThere are no sexual problems, including erection, libido, or ejaculation.\n\n \n
CYSTECTOMIE RADICALE LAPAROSCOPIQUE<\/h2>\nThis is a minimally invasive and highly complex surgical procedure that completely removes the urinary bladder affected by severe pathology (metastatic invasive bladder cancer), along with the surrounding lymph nodes and tissue. In men, this involves the seminal vesicles and prostate, and in women, the uterus and vaginal vault, without the need to open the abdomen.\n\nThe urinary tract is then reconstructed to allow urine to pass from the kidneys to the outside.\n\nPlusieurs types de chirurgie reconstructive peuvent \u00eatre pratiqu\u00e9s, selon le degr\u00e9 d'atteinte, la pathologie et la d\u00e9cision de l'\u00e9quipe chirurgicale au moment de l'intervention. Les plus couramment utilis\u00e9s sont :<\/strong>\n
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CYSTECTOMIE RADICALE ROBOTIQUE<\/h2>\nDa Vinci robotic radical cystectomy is the most advanced, sophisticated, and precise minimally invasive surgical procedure currently used for the treatment of muscle-invasive bladder cancer.\n\nThis technique involves the removal of the urinary bladder along with surrounding lymph nodes, tissues, and organs that are also affected, with the goal of eradicating all tumor tissue.\n\nRadical cystectomy is considered a highly complex surgery, and the fact that it can be performed using state-of-the-art robotic technology (Da Vinci robot) provides numerous advantages to the surgical process, both during the execution phase, facilitating and enhancing the surgeon’s skill and precision, and during the patient’s recovery phase compared to more conventional non-robotic techniques such as open or laparoscopic surgery.\n\nAvantages de la chirurgie robotique pour le chirurgien:<\/strong>\n
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VASECTOMIE<\/h2>\nA vasectomy involves the sectioning and ligation of the vas deferens through two small incisions made on either side of the scrotum.\n\nAs a result, after some time, the ejaculated semen contains no sperm.\n\nIt is indicated in cases where the couple decides not to have more children. It is also indicated when the woman is contraindicated in contraceptives, regardless of the type.\n\n \n
PHIMOSE<\/h2>\nPhimosis is defined as the difficulty or impossibility of retracting the preputial skin, that is, the skin that covers the tip of the penis or glans. It should not be confused with the presence of balanopreputial adhesions (between the skin of the foreskin and the glans of the penis), which are very common in boys and are independent of the presence or absence of phimosis. In some children, these adhesions are accompanied by a tightness in the skin of the foreskin, which causes intense pain when attempting to retract it. This sometimes causes the foreskin to swell before urination occurs. In milder cases, the only pain experienced is when attempting to retract the foreskin to clean the glans penis.\n\nAt birth, difficulty retracting the foreskin is common in boys. In the first 3-4 years of life, the epithelial debris that forms between the glans penis and the foreskin (smegma) gradually separates the two structures. By age 3, 90% of foreskins descend completely. Less than 1% of 17-year-old boys have phimosis.\n\nPhimosis only occurs if the foreskin presses too hard against the shaft of the penis as it descends; if it prevents the glans penis from being uncovered; or if it is difficult to re-cover the penis after the foreskin descends. If the foreskin falls freely and there is no pressure during erection, there is no phimosis. Excess skin is not phimosis.\n\nOnly boys who have difficulty retracting the foreskin and who have not responded to less aggressive treatments should undergo surgery. Circumcision can be performed starting at age 11 or 12 with local anesthesia.\n
CIRCONCISION, POSTECTOMIE OU CHIRURGIE DU PHIMOSE<\/h4>\nLa circoncision consiste \u00e0 retirer l\u2019anneau \u00e9troit du pr\u00e9puce et \u00e0 suturer ensuite la peau avec un mat\u00e9riau r\u00e9sorbable.\n\n \n
CHIRURGIE DE L'INCONTINENCE URINAIRE POUR HOMMES ET FEMMES<\/h2>\nUrinary incontinence is the involuntary loss of urine without control over the filling and emptying of the bladder, sometimes accompanied by a strong urge to urinate.\n\nIt is caused by age, pregnancy and childbirth, menopause, functional and cognitive decline, and other factors, such as surgery, obesity, certain types of physical exercise, etc.\n\nDue to its association with modesty and social shame, consultations for these problems are often delayed or, sometimes, avoided. For this reason, its true incidence is unknown, although it is estimated that around two million people in Spain suffer from it. Of these, only 10% seek medical attention.\n\nThe paradox is that involuntary incontinence, which so greatly affects the quality of life of those who suffer from it, is susceptible to significant improvements and even complete recovery.\n\nSurgery is reserved for patients who have failed conservative treatments.\n\nThere are around 200 different surgical procedures.\n\nThe most common treatments for this problem are banding surgery, mini-strip surgery, and botulinum toxin.\n\n \n
Chirurgie de bandage<\/h2>\nDue to its effectiveness, in 90% of cases, the procedure involves placing a synthetic mesh under the urethra, inserted through a small vaginal incision.\n\nThe operation takes about 25 minutes and is usually performed under epidural anesthesia, although it can also be performed under local anesthesia.\n\nIt involves a strip, usually made of polypropylene, a material well tolerated by the body, which is placed under the urethra without tension. Because it is porous, it stays in place and eventually integrates with the body.\n\nIt is a simple and minimally invasive procedure, which facilitates a rapid recovery for the patient at home. Incontinence ceases as soon as the mesh is placed, although it is recommended to avoid excessive straining for the first month after surgery.\n\n \n
Chirurgie par mini-bandelette<\/h2>\nThrough a single incision under the urethra, a small strip is placed and secured internally, without any holes in the skin.\n\nIt has greater advantages than the synthetic mesh technique, including greater comfort for the patient and the advantage of being adjustable.\n\nToxine botulique<\/strong>\n\nIn some cases, botulinum toxin injection into the bladder reduces the number of episodes of urge incontinence.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#f9f9f9″ custom_padding_tablet=”” custom_padding_phone=”0px||||false|false” locked=”off” global_colors_info=”{}”][et_pb_row custom_padding_last_edited=”on|phone” _builder_version=”4.27.0″ _module_preset=”default” custom_padding_tablet=”” custom_padding_phone=”||0px||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Unna|700||on|||||” text_text_color=”#000080″ text_font_size=”55px” text_line_height=”1.2em” text_orientation=”center” text_font_size_tablet=”55px” text_font_size_phone=”30px” text_font_size_last_edited=”on|phone” global_colors_info=”{}”]