タグ: RobotAssistedSurgery

The theme: Urinary Continence and Erectile Function Preservation in Robot-Assisted Radical Prostatectomy

4月 16th, 2025

[Conference Presentation Announcement]

Selected for the Annual Meeting Video Award at the Japanese Urological Association!

On April 17, 2025, Dr. Nakazono will be presenting at the Annual Meeting of the Japanese Urological Association.

His work has been selected for the prestigious Annual Meeting Video Award in the video presentation category!

The theme: Urinary Continence and Erectile Function Preservation in Robot-Assisted Radical Prostatectomy

This presentation showcases a highly skilled surgical video that directly addresses the challenging issue of preserving urinary continence and erectile function during robot-assisted radical prostatectomy. It is accompanied by a detailed and meticulously compiled set of clinical data.

“How many years has he been practicing?!” — International surgeons stunned by his skills

When international doctors viewed Dr. Nakazono’s surgery, they were astonished, asking,

“How many years has he been in practice?!”

His precise and delicate technique, particularly in nerve-sparing procedures, has earned widespread recognition. The video reflects not only his technical mastery but also his deep consideration for each patient’s long-term quality of life.

Aiming for “zero thermal injury” to the neurovascular bundles

The featured video focuses on nerve-sparing techniques that aim to preserve erectile function by avoiding thermal damage.

Dr. Nakazono carefully minimizes the use of electrocautery or sealing devices near the nerves, and this is clearly explained in the presentation.

This approach has the potential to significantly improve postoperative outcomes in terms of both erectile function and urinary continence.

Evolving techniques: From open surgery to laparoscopic and robot-assisted approaches

At Kameda Medical Center, we have pursued this theme for many years.

Our approach has evolved from open surgery to laparoscopic and now to robot-assisted techniques.

Yet, the philosophy of “nerve preservation above all” has remained consistent throughout.

To all urologists — Don’t miss this presentation!

Radical prostatectomy is not only about cancer cure but also about preserving postoperative quality of life.

This presentation will offer one ideal approach to that goal — with compelling surgical footage and robust data.

If you’re attending the conference, we strongly encourage you to watch Dr. Nakazono’s presentation.

Don’t miss it — April 17, 2025 (Thursday)!
When Vaginal Pain Isn’t Just GSM: A Case of Mesh Exposure After RASC

3月 28th, 2025

Today, a patient visited us for follow-up after undergoing native tissue repair (NTR) due to painful vaginal mesh exposure.

This patient had previously undergone robot-assisted laparoscopic sacrocolpopexy (RASC) for pelvic organ prolapse. After surgery, she began experiencing vaginal pain and sought help at a local women’s clinic. There, she was diagnosed with genitourinary syndrome of menopause (GSM) and underwent three sessions of vaginal laser therapy.

However, rather than improving, her pain worsened. Concerned and anxious, she came to our clinic for a second opinion.

Upon examination using speculum and endoscopic inspection, we discovered mesh exposure inside the vagina accompanied by infection—a finding that explained her persistent pain.

It is important to note that applying laser treatment to an infected mesh site may worsen symptoms. In this case, the true cause of the pain wasn’t GSM but a complication from the mesh. The right treatment wasn’t more laser—it was mesh removal and reconstruction using native tissue.

We performed laparoscopic mesh excision and NTR. Her recovery was smooth, and after the inflammation subsided, we proceeded with carefully adjusted Intima laser therapy (3 sessions).

The results were remarkable:

Her vaginal pH improved from 8.0 to 4.5, and her pain significantly decreased, leading to a noticeable improvement in her quality of life.

Key Takeaway:

Not all vaginal pain in postmenopausal women is GSM.

If we hastily assume GSM without thorough evaluation, we may miss the true underlying cause.

Diagnosis and the order of treatment matter.

Vaginal mesh exposure, especially when infected, is a serious complication that requires careful assessment and individualized treatment planning.

If you’re experiencing:

• Persistent pain after laser therapy

• Worsening symptoms instead of improvement

• A sense of foreign body or unusual discharge from the vagina

Don’t hesitate—seek expert evaluation early.

タグ: RobotAssistedSurgery

The theme: Urinary Continence and Erectile Function Preservation in Robot-Assisted Radical Prostatectomy

When Vaginal Pain Isn’t Just GSM: A Case of Mesh Exposure After RASC