Robotic surgery center st. Zdislava

20 Years of Experience in Robotic Surgery

The hospital is located in a picturesque area where nature itself has created ideal conditions for health recovery.
It is the largest center of robotic surgery in the Czech Republic based on the number of robotic procedures performed and one of the largest in Europe.

Statistical Data

• Inpatient departments: 5
• Beds: 147
• Employees: 199
• Hospitalizations per year: 2,337
• Operations per year: 2,016 

The largest centre of robotic surgery in the Czech Republic
12 years’ of experience in performing operations using a robot
More than 4,000 robotic operations performed

The Robotic Surgery Centre provides a wide range of mini-invasive surgeries using the da Vinci robotic surgical system. More than 1,000 robotic operations are performed during the year using a da Vinci robot, of which 400 are prostate removal operations.

USING THE DA VINCI ROBOT WE PERFORM:

• RADICAL PROSTATECTOMY
• PARTIAL KIDNEY RESECTION
• PYELOPLASTY
• REMOVAL OF ADRENAL GLAND
• RECONSTRUCTION OF THE URINARY TRACT
• ELIMINATION OF A LARGE VOLUME OF ADENOMA IN THE PROSTATE

Surgical treatment (radical prostatectomy):
The principle of the operation involves the removal of the prostate gland and seminal vesicles, followed by suturing the bladder to the urethra above or at the level of the muscle responsible for closing the urethra and maintaining urinary continence.
The robotic-assisted procedure has the advantage of being a minimally invasive method (performed through five small incisions in the abdomen). It has been proven that there are fewer cases of pulmonary embolism following robotic prostate surgery compared to open prostatectomy.
Adverse effects of radical prostatectomy:
A) Urinary incontinence – There is a possibility of impaired urinary control, which usually stabilizes within 3–6 months after surgery. More than 50% of patients do not use pads, 18% use pads for reassurance, and 14% use a small pad once a day.
B) Permanent loss of ejaculation – Ejaculation (release of semen during sexual arousal) is permanently lost due to the removal of the prostate, whose secretion is a main component of the ejaculate. The operation does not affect sexual sensations.
C) Potential loss of erectile function – This may occur due to temporary or permanent damage to the neurovascular bundles running on both sides of the prostate. If the tumor extends beyond the prostate and affects these nerves and blood vessels, they must be removed along with the prostate to achieve a cure. However, nerve function may be only temporarily impaired due to surgical manipulation and can recover within the first two to three years.
Various comorbidities (e.g., diabetes, vascular diseases) and the patient’s age (patients under 60 years old at the time of surgery are significantly more likely to maintain or recover erections) can negatively impact this aspect of recovery. If both neurovascular bundles are preserved, erectile function is maintained in approximately 80% of cases.
If one or both bundles must be removed, the likelihood of preserving erectile function decreases. Nevertheless, erection can be restored with medications such as Viagra or by injecting prostaglandins into the erectile tissue of the penis. This treatment is not part of the standard prostatectomy procedure. 

Head of the Department of Urological Surgery

He has been performing uro-oncological operations with the da Vinci operating system since 2007. He specializes in complicated prostate surgery and incontinence. The number of robotic operations is more than 4,000 and he has per formed more than 2.500 TURP procedures (till 2025).

He is a member of the pr esidium of the Czech Urological Society, a Member of the European Urological Society, a Member of the Czech Oncological Society and a Member of the Society for Robotic Surgery.

He is the author of 108 articles published in the Czech and for eign press and 145 articles on uro-oncological issues at national and inter national conferences. He has received several grants in the fi eld of urological surgery.

Academic internships

1991: Institute of Urology, London, UK

1995: Indianapolis University and J. Hopkins Hospital in Baltimor e, USA

1996: Insel Hospital, Bern, Switzerland

2000: Department of Neurosurgery at Werner-Wiecker Clinic, Bad Wildungen, Germany 

The hospital offers full service to patients from abroad:

meeting at the airport, transfers, preoperative consultation and examination, preparation for operation, actually operation, restorative therapy and rehabilitation, interpreter services, full nutrition and drinking regime.

No extra costs are required after arrival — all services are included in the package.

Payment is made at the clinic‘s cash Desk before the appointment to hospitalization in Euro cash or cards.