About da Vinci^® Urologic Surgery

da Vinci^® Prostatectomy

More U.S. men choose da Vinci Surgery than any other treatment for prostate cancer,¹ and more and more men worldwide facing prostate cancer are choosing da Vinci Surgery.

Thanks to breakthrough surgical technology, doctors can offer a minimally invasive treatment for prostate cancer - da Vinci Prostatectomy.

Why da Vinci? Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment with the potential for:

Better Cancer Control

Studies show that, compared to open surgery, experienced da Vinci surgeons achieve better cancer control - lower positive margin rates. Positive margin rates are a measure of cancer cells left behind – lower is better.^2,3,4

Faster Return of Erectile Function

Studies show patients who are potent prior to surgery experience a faster return of erectile function than patients who have open surgery.^5,6

Better Chance for Return of Urinary Continence

Recent studies show more patients have full return of urinary continence within 6 months as compared to patients having open surgery^4,5,6

• Shorter hospital stay^4,5,6,7,8
• Less blood loss^{4,5,6,7,9,10,11}
• Less need for blood tranfusion^4,6,7,9,11
• Lower risk of complications^4,7,11
• Lower risk of wound infection¹¹
• Fewer days with catheter⁵
• Less pain⁹
• Faster recovery¹⁰ and return to normal activities⁸

The da Vinci Surgical System is a state-of-the-art surgical platform with 3D, high-definition vision and miniaturized, wristed surgical instruments designed to help doctors take surgery beyond the limits of the human hand. Though it is often called a “robot,” da Vinci cannot act on its own - surgery is performed entirely by your doctor from start to finish. By overcoming the limitations of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for people around the world.

If you have been told you need treatment for prostate cancer, it's time to ask your doctor about da Vinci Surgery.

1. Claim based on 2008 U.S. data. Data on file at Intuitive Surgical, Inc.
2. Weerakoon M, Sengupta S, Sethi K, Ischia J, Webb DR. Predictors of positive surgical margins at open and robot-assisted laparoscopic radical prostatectomy: a single surgeon series. J Robotic Surg (2011) DOI 10.1007/s11701-011-0313-4.
3. Coronato EE, Harmon JD, Ginsberg PC, Harkaway RC, Singh K, Braitman L, Sloane BB, Jaffe JS. A multi-institutional comparison of radical retropubic prostatectomy, radical perineal prostatectomy, and robot-assisted laparoscopic prostatectomy for treatment of localized prostate cancer. J Robotic Surg (2009) 3:175-178.
4. Health Information and Quality Authority (HIQA), reporting to the Minister of Health-Ireland. Health technology assessment of robot-assisted surgery in selected surgical procedures, 21 September 2011.
5. Rocco B, Matei DV, Melegari S, Ospina JC, Mazzoleni F, Errico G, Mastropasqua M, Santoro L, Detti S, de Cobelli O. Robotic vs open prostatectomy in a laparoscopically naive centre: a matched-pair analysis. BJU Int. 2009 Oct;104(7):991-5. Epub 2009 May 5.
6. Ficarra V, Novara G, Fracalanza S, D'Elia C, Secco S, Iafrate M, Cavalleri S, Artibani W. A prospective, non-randomized trial comparing robot-assisted laparoscopic and retropubic radical prostatectomy in one European institution. BJU Int. 2009 Aug;104(4):534-9. Epub 2009 Mar 5.
7. Ho C, Tsakonas E, Tran K, Cimon K, Severn M, Mierzwinski-Urban M, Corcos J, Pautler S. Robot-Assisted Surgery Compared with Open Surgery and Laparoscopic Surgery: Clinical Effectiveness and Economic Analyses [Internet]. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH); 2011 (Technology report no. 137).
8. Hohwu L, Akre O, Pedersen KV, Jonsson M, Nielsen CV, Gustafsson O. Open retropubic prostatectomy versus robot-assisted laparoscopic prostatectomy: A comparison of length of sick leave. Scand. J. Urol. Nephrol. Apr 7 2009:1-6.
9. Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002 Nov;60(5):864-8.
10. Miller J, Smith A, Kouba E, Wallen E, Pruthi RS. Prospective evaluation of short-term impact and recovery of health related quality of life in men undergoing robotic assisted laparoscopic radical prostatectomy versus open radical prostatectomy. J Urol. 2007 Sep;178(3 Pt 1):854-8; discussion 859. Epub 2007 Jul 16.
11. Carlsson S, Nilsson AE, Schumacher MC, Jonsson MN, Volz DS, Steineck G, Wiklund PN. Surgery-related complications in 1253 robot-assisted and 485 open retropubic radical prostatectomies at the Karolinska University Hospital, Sweden. Urology. 2010 May;75(5):1092-7.

While clinical studies support the effectiveness of the da Vinci Surgical System when used in minimally invasive surgery, individual results may vary. There are no guarantees of outcome. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation. Surgery with the da Vinci Surgical System may not be appropriate for every individual; it may not be applicable to your condition. Always ask your doctor about all treatment options, as well as their risks and benefits. Only your doctor can determine whether da Vinci Surgery is appropriate for your situation. The clinical information and opinions, including any inaccuracies expressed in this material by patients or doctor about da Vinci Surgery are not necessarily those of Intuitive Surgical, Inc. and should not be considered as substitute for medical advice provided by your doctor. All people depicted unless otherwise noted are models. © 2012 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders.

Content provided by Intuitive Surgical. For more information, please visit www.davincisurgery.com

PN 873905 Rev A 02/12 U 07/06/2012

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