Urology Practice Uses Robotic Surgery to Improve Outcomes

Ariela Katz
Published: Saturday, May 05, 2018
Richard Troy, MD

Richard Troy, MD
Since 2005, physician partners at Comprehensive Urologic Care (CUC) have been using a form of clampless surgery, which they developed at their practice, for partial nephrectomies. The robotic procedure reduces ischemia and represents a form of innovation that the partners say they strive for in their steadily growing practice in the northwestern Chicago, Illinois, suburbs.

With the clampless method, the surgeons at CUC can keep the kidney perfused and send the tumor to pathology to make sure the margins are negative. The kidney can then be meticulously repaired without time constraints. “You don’t have to worry about ischemia time and loss of kidney tissue during the procedure,” Goldrath said.

History and Structure of the Practice

CUC has 3 locations: the main office in Lake Barrington, another office in Elgin, and a third in Crystal Lake. Founded by Laurence Gott, MD, in 1978, the practice has grown without any mergers to a team of 53 support staff, and 7 physician partners. An eighth physician will join the team this summer.

The physician partners meet weekly to discuss strategy and things that are going on in the practice. “By doing this, we have to answer to ourselves, and we have to come through with ideas,” Goldrath said. “Some practices that don’t meet regularly tend to grow stagnant and fail to make changes effectively or solve problems efficiently.”

One-Stop Urology Shop

Troy and Goldrath like to think of the practice as a one-stop shop where patients can meet with physicians, have diagnostic procedures performed, and get the results all in 1 visit. Patients whose disease may have a genetic component, such as prostate cancer, are referred to genetic counselors. They also may be referred for DNA testing based on recurrent disease, biochemical failure, or a positive margin after radical prostatectomy. “We have patients who go on active surveillance, and genetic testing helps give us an idea of how aggressive the cancer is,” Goldrath said.
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