da Vinci Zentrum

Time flow of the da Vinci cystectomy at the Hanover Vizenz Hospital

One of the major advantages of the da Vinci surgical system is the fast sequence of the therapy. The following 5 points provide a rough schedule of our procedure.

1.) Appointment-making and consulting hours:

An appointment for the da Vinci consulting hours is made by your urologist/GP (pre-hospitalisation appointment). During the consulting hours, we all take the time to discuss all questions on your findings, therapy options and possible alternatives. If you are eligible for a da Vinci prostatectomy, you will be given a hospital appointment for an operation at short notice (most of the time, within a week after the consulting hours appointment).

For foreign patients, there are two ways of preparing for the operation:

  1. All questions are clarified and preparations for the operation are made within the framework of an outpatient consultation. The patient first goes back home and the operation is carried out in the interval (for instance 2-3 weeks later).
  2. All questions are clarified and preparations for the operation are made within the framework of an outpatient consultation. The operation is planned 3 to 5 days later. This interval is necessary while waiting for findings (blood, urine, etc.) and to carry out further examinations if necessary (e.g. computer tomography). For these days, we can arrange accommodation in a nearby hotel.

2.) Admission to the hospital:

One day before the planned operation, you will be admitted to the relevant ward (9 or 10 on the 5th floor) at around 10:00 am.

3.) Operation:

The operation will be carried out on the following day. If desired, your family members will be informed about the developments right after the operation. You will then spend a night at the Intensive Care Unit for better monitoring. On the morning of the next day, you will be brought back to the urological department. In very rare cases, e.g. in patients with severe pre-existing conditions, a longer stay in the Intensive Care Unit may be necessary.

4.) Further course following the operation:

Already on the first day after the operation, you should get up and move around from time to time.

The still existing drainages are removed for the most part on the second to third day after the operation.

You can already drink and take slight fare on the evening of the operation. The gradual return to solid food occurs within three days.

On the second to fourth day after the operation, you should be able to move around independently on the ward. At the beginning, you will receive physiotherapeutic assistance if necessary.

Discharge can already occur in part on the 5th day after the operation (in the case of a neobladder on the 7th day following the operation). Sometimes, a longer hospitalisation may also be necessary. We currently discharge patients on average on the 9th to 10th day following the operation.

Before discharge, our stoma nurse instructs all patients on how to deal with the ileal conduit. If further home care is necessary, it will be organised.

The ureteral stents are removed from the 10th day following the operation, partly on an outpatient basis.

You can find medical background information on the da Vinci cystectomy here.