Urologic Surgical Associates of Delaware
We are pleased to announce our expanded office hours offering evening appointments on Tuesdays in addition to same day/next day appointments during 12-1pm. Please call us now for an appointment at (302) 571-8958 or by using our online appointment form.

USA Delaware is pleased to announce that Fran Schanne, MD, FACS has been voted a "2013 Top Doc" by the readers of Delaware Today.

We are proud to be the first urologists in Delaware to offer robotic surgery for prostate cancer, bladder cancer and kidney cancer using the da Vinci Surgical system.

Top Doctors
"Smooth Operators" article featuring Dr. Schanne!

Comcast NewsMakers
Featuring Dr. Schanne describing prostate cancer treatment using the da Vinci Surgical System.

News Archive

Robotic Rovsing and Large Renal (Kidney) Cysts
Da Vinci Robotic Rovsing (also known as Robotic Assisted Rovsing) is the most advanced method of performing laparoscopic renal cyst decortications or removal (also known as a rovsing procedure). This minimally invasive procedure coined its name from the Da Vinci© Robot, which is manufactured by “Intuitive Surgical”.

The Robot combines the latest achievements in medical technology and laparoscopy including:

Surgeon’s console and patient side cart
High-performance InSite® Vision System
Proprietary EndoWrist® Instruments
Surgeon’s console and patient side cart
High-performance InSite® Vision System
Proprietary EndoWrist® Instruments
  • Ergonomically designed surgeon’s console
    While sitting comfortably at the console, the surgeon operates while viewing a 3-D color image of the surgical field.
  • Patient-side cart with four interactive robotic arms
    (three instrument arms and one endoscope arm)
    Endowrist instruments execute the surgeon's commands through the key-hole port sites in the patient's abdomen. Surgical team members assist the surgeon by properly installing the Endowrist instruments.
  • High-performance InSite® Vision System
    with high-resolution 3-D endoscope provides real-time 3-D images of the operative field, with magnification of 12-15 times. This advanced technology spares nerves and delicate tissues during the operation, which plays an important role in patients’ fast recovery and maintenance of the patients' sexual and urinary function.
  • Proprietary EndoWrist® Instruments
    The instruments are designed with seven degrees of motion that mimic the movements of the human hand and wrist. All movements of the surgeon hands are translated into precise movements with micro-instruments.

Most renal (Kidney) cysts are small, benign, and without symptoms. Some renal cysts can harbor tumors and for a full discussion on renal masses please see our patient brochure on renal masses. Sometimes a renal cyst can grow so large (usually when its greater than 8cm in diameter or more) that it can cause pain. Pain comes from a renal cyst by growing so much it stretches the renal capsule and triggers nerve receptors that send a pain signal to the brain. Sometimes a large renal cyst causes no symptoms and in this situation it needs no treatment, but if a large renal cyst causes pain or discomfort it can be treated.

Percutaneous Needle Drainage
Percutaneous needle drainage is placing a needle through the skin into the renal cyst to drain the cyst. This can sometimes be done in the office and is sometimes done in the interventional radiology department of the hospital. Percutaneous drainage is a temporizing measure since the fluid within the cyst will almost always re-accumulate. While percutaneous drainage can provide only temporary relief, it can also be helpful in confirming that the renal cyst is the cause of the pain or discomfort.

Renal Cyst Decortication (Rovsing Procedure)
Removing the outer capsule of the cyst and then filling the cyst with nearby fat from around the kidney usually will eliminate symptoms from the cyst. This procedure can be carried out with robotic- assisted laparoscopic technique, usually as an outpatient (you go home the same day as the surgery). After this procedure, most patients can return to their normal activities within 2-3 weeks.