Da Vinci assisted surgeries
- Pelvic Floor
- Prostate
Specialties //
Pelvic Floor
Urinary Incontinence
Urinary incontinence occurs when the pelvic floor muscles become too weak. This causes urine to leak out of a person involuntarily. Urinary incontinence can happen to anyone, but is most common in women who have given birth or women over 50.
Pelvic Floor Dysfunction
Pelvic floor dysfunction is a condition where the pelvic floor muscles behave abnormally. Women who have pelvic floor muscles that are too tight may start to experience extreme pain, which includes pain with intercourse..
Overactive Bladder
People with overactive bladders feel the sudden uncontrollable urge to urinate and urinate often. One cause of this condition is weak pelvic floor muscles.
Prolapse
Prolapse is a drop in the female pelvic organs due to a weak pelvic floor. This condition can be corrected through surgery or physiotherapy.
Obstructive defecation
Constipation as a result of abnormal anatomy of the anorectal level (rectocele).
DurbanVille Pelvic Unit
Holistic Approach to pelvic floor dysfunction is followed by Durbanville Pelvic Unit.
Interstim
Dr Bruwer uses Interstim neuro modulation in selected patients with severe incontinent in which all other measures failed.
Prostate
Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).
During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through the scope. The laser delivers energy that is used to shrink or to remove the excess tissue that is blocking the urethra and preventing urine flow.
All lasers use concentrated light to generate precise and intense heat. Laser surgery removes excess prostate tissue by means of the following:
Ablation - The laser melts away excess tissue.
Enucleation - The laser cuts away excess prostate tissue.
There are different types of prostate laser surgery, such as:
Photoselective vaporization of the prostate (PVP). A laser is used to melt away (vaporize) excess prostate tissue to enlarge the urinary channel.
Holmium laser ablation of the prostate (HoLAP). This is a similar procedure to PVP, except that a different type of laser is used to melt away (vaporize) the excess prostate tissue.
Revolix laser enucleation of the prostate. The laser is used to cut and remove the excess tissue that is blocking the urethra. Another instrument, called a morcellator, is then used to chop the prostate tissue into small pieces that are easily removed. This is used by Dr Bruwer and ensures a lasting relief of obstruction by removal of adenoma.