Timothy Wilson, MD 

(Urology, Robotic)

(909) 725-3226 

PA Kayla Tran also can act as a contact point for us:

mobile 216-233-1244  email: kayla.tran2@providence.org

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Pre-Op

• Internist/cardiologist sees the patient 2 weeks ahead.  Kayla coordinates and makes sure all expected info is in the chart in advance. 

• Dr. Toiserkani group follows during hospitalization, and is available for day-of consultation 

• As always, Call the night before, Patients are expecting a call

 

 

ROBOTIC PROSTATECTOMY

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• Blood loss is typically 250cc

• No special blocks are requested

• No A-line or additional access is required unless indicated. Single "good" line is usually adequate.

 

Positioning:

Both arms tucked

FULL Trendelenburg

Foam pad over face to protect. 

Bed will be turned 45 degrees

 

Meds: 

Ancef 2g

Toradol at end of case

 

IVF:  

2-3L is target. Wilson prefers well-hydrated patient,

 

Closing:

Keep relaxed until fascia closed, usually 20 min after Wilson is done at the console

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ROBOTIC CYSTECTOMY

• Expect 8-10 hours

• EBL: typically ~500cc, Type + Cross recommended.

• Lines: A-line preferred, 2 large IVs, or central access. 

• ERAS Protocol - Modified- No Block

 

Meds:

Entereg (Alvimpoan) This is given PO in preop to speed the return of bowel function.  It’s in a class called:  Peripherally-Acting Mu-Opioid Receptor Antagonists (PAMORA). It should have minimal effect on intraop anesthesia/analgesia

 

 

ROBOTIC CYSTECTOMY (Dr. Linehan): 520-440-5142

 

ERAS protocol (see abdominal cases above) for cystectomy cases including Intrathecal Opioids (dosing as stated above)

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