Urologic Surgical Associates of Delaware

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News
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 Sacral Colpopexy
Da Vinci Robotic Cystectomy (also known as Robotic Assisted Cystectomy) is the most advanced method of performing Cystectomy. 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) that execute the surgeon's commands through the key-hole incisions 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.
  • 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.

Pelvic prolapsed or descensus is the dropping of pelvic organs through the vaginal vault (see our brochure on Pelvic Prolapse, Cystocele, and Rectocele). The most advanced surgical treatment for pelvic prolapsed or descensus is robotic sacral colpopexy. Robotic sacral colpopexy is the use of robotic assisted laparoscopic technology to suspend the vaginal vault from the bony sacrum. Six small port sites, about fingernail size, allow instruments to be placed into the abdomen, including a high powered camera. This enables placement of a supporting mesh to be secured to the anterior (front) and posterior (back) surface of the vagina and then the other end of the mesh is secured high in the pelvis to the pubic bone. This mesh suspension permanently eliminates pelvic prolapsed through the vagina. Most patients go home from the hospital the next day and return to their usual activities about 2 weeks after surgery.