Page 6 - NRMC Today-Summer-Fall 2025

Revolutionizing Urological Care with
ROBOTIC SURGERY
Innovations in robotic technology have made a remarkable impact in the eld of urology. At NRMC, we recognized this potentialearly– investinginthedaVinciSurgicalSystemalittle over a decade ago. Today, that investment continues to deliver outstanding results for both our surgeons and our patients.
The da Vinci system transformed traditional surgery into a minimally invasive experience, o ering unmatched precision and control. For our surgeons, it provides enhanced visualization, dexterity, and accuracy. For our patients, the advantages include smaller incisions, less postoperative pain, shorter hospital stays, faster recovery times, and a lower risk of infection.
At NRMC Urology Associates, we are proud to o er exceptional care through our two highly skilled surgeons, Dr. Kenneth Perego and Dr. Erik Castle. Together, they provide the full spectrum of urologic procedures, with specialized expertise in the diagnosis and treatment of urologic cancers.
Dr. Erik Castle, a robotic specialist, was one of the rst urologists in the nation to perform a robot-assisted radical cystectomy. His advanced training and experience in robotic technology bring a higher level of precision and innovation to our surgical capabilities. Working alongside Dr. Perego, a respected surgeon with years of clinical excellence, our team delivers cutting- edge urological care to the Natchitoches community – o ering advanced procedures, right here at home.
To schedule an appointment or for more information, please call 318.214.5810.
Dr. Perego
Dr. Castle
KIDNEY PROCEDURES:
• Percutaneous Nephrolithotomy – minimally invasive large kidney stone removal
• Robotic Pyeloplsty – kidney removal and reconstruction
• Robotic Left Renal Vein Transposition for Nutcracker
Syndrome – a vascular procedure to reconstruct the left
kidney
• Robotic Partial Nephrectomy – tumor removal and kidney
reconstruction
• Robotic Radical Nephrectomy – complete removal of a kidney
• Robotic Retroperitoneal Lymphadenectomy – tumor and
lymph nodes removal
PROSTATE PROCEDURES:
• Robotic Simple Prostatectomy for BPH – open up urethra channel
• Robotic Radical Prostatectomy – removal of the prostate, lymph nodes and surrounding tissues
BLADDER PROCEDURES:
• Partial Cystectomy – only part of the bladder is removed
• Radical Cystectomy – complete removal of the bladder and
lymph nodes and a redirection of the urinary tract
• Robotic Creation of Urinary Neobladder & Ileal Conduits – reconstructive surgery to create a neobladder to replace a
patients’ cancerous bladder
• Robotic Ureteral and Bladder Reconstruction for Strictures of the Ureter – Boari Flap and Reimplantation
OTHER PROCEDURES:
• Robotic Pelvic Lymph Node Dissection – lymph node removal in pelvic region for cancer
• Robotic Sacrocolpopexy & Robotic Uterosacral ligament Suspension – a multidisciplinary approach to correct pelvic organ prolapses
• Buccal Mucosa Urethroplasty – multidisciplinary approach to reconstruct urethra
5 SUMMER/FALL 2025