Robot‑assisted surgery represents the most advanced form of minimally invasive urology, allowing complex oncologic and reconstructive procedures to be performed with exceptional precision, safety, and functional outcomes.

Since December 2025, Dr. Giorgi Khvadagiani MD, FEBU performs advanced robot‑assisted urologic surgeries, including both oncologic and reconstructive procedures, positioning Zhordania Medical Center among the leading centers for modern urologic surgery in Georgia.

Dr. Khvadagiani’s international training, European Board certification, and experience in complex reconstruction enable the safe performance of procedures that traditionally required large open surgery.

Why Robot‑Assisted Surgery?

Robot‑assisted surgery offers major advantages over open and conventional laparoscopic techniques:

• High‑definition 3D magnified vision

• Tremor‑free, highly precise instrument control

• Improved nerve and tissue preservation

• Reduced blood loss

• Less postoperative pain

• Faster recovery and shorter hospital stay

• Better functional outcomes (continence, renal function)

These benefits are especially important in oncologic surgery and complex urinary tract reconstruction.

​

 

Robot‑Assisted Procedures Performed

​

🟦 Robot‑Assisted Radical Prostatectomy

Minimally invasive surgical treatment for localized and locally advanced prostate cancer.

Focus on:

• Oncologic safety

• Preservation of urinary continence

• Preservation of erectile function when appropriate

Robot‑assisted prostatectomy allows precise dissection and nerve‑sparing techniques even in challenging cases.

​

🟦 Robot‑Assisted Bladder Neck Reconstruction

Advanced reconstructive procedure performed in:

• Post‑prostate surgery complications

• Bladder neck contracture

• Complex scar or fibrosis cases

This procedure requires high‑level robotic expertise and is a marker of advanced reconstructive robotic urology.

​

🟦 Robot‑Assisted Nephrectomy

Removal of the kidney for:

• Renal cancer

• Non‑functioning kidneys

• Severe chronic infection or obstruction

The robotic approach minimizes trauma while allowing safe vascular control.

​

🟦 Robot‑Assisted Partial Nephrectomy

Kidney‑sparing surgery for renal tumors.

Advantages:

• Maximum preservation of healthy kidney tissue

• Reduced risk of chronic kidney disease

• Precise tumor excision with reconstruction of the kidney

This procedure is considered the standard of care for many renal tumors.

​

🟦 Robot‑Assisted Radical Cystectomy

Complete removal of the urinary bladder for muscle‑invasive or high‑risk bladder cancer.

Performed together with urinary diversion using minimally invasive techniques.

​

🟦 Orthotopic Neobladder Construction

Creation of a new bladder from intestine, connected to the patient’s urethra.

This advanced reconstructive option:

• Preserves natural voiding

• Improves quality of life

• Requires high surgical expertise

Robot‑assisted techniques allow precise bowel and urinary reconstruction.

​

🟦 Robot‑Assisted PUJ (UPJ) Plasty

Correction of ureteropelvic junction obstruction.

Benefits include:

• Excellent long‑term success rates

• Minimal scarring

• Rapid recovery

​​

🟦 Robot‑Assisted Ureterocystoneostomy

Reimplantation of the ureter into the bladder for:

• Distal ureteral strictures

• Iatrogenic ureteral injury

• Reflux or obstruction

Robotic precision is particularly beneficial for delicate ureteral reconstruction.

​

🟦 Robot‑Assisted Ileal Ureter Reconstruction

Replacement of long ureteral segments using a segment of intestine.

Indicated in:

• Extensive ureteral damage

• Failed previous repairs

• Complex strictures

This is one of the most complex reconstructive procedures in urology and reflects advanced robotic expertise.

​

Multidisciplinary & Patient‑Centered Care

All patients undergo:

• Detailed preoperative evaluation

• Individualized surgical planning

• Multidisciplinary discussion when needed

• Modern postoperative care and rehabilitation

The goal is oncologic control, organ preservation, and quality of life.

​

Why Choose Dr. Giorgi Khvadagiani?

• European Board of Urology (FEBU)

• International training in advanced laparoscopic and robotic surgery

• Experience in both oncologic and reconstructive urology

• Head of Urology Department at Zhordania Medical Center

• Focus on evidence‑based medicine and patient outcomes

Appointments & Consultation

For consultation regarding robot‑assisted urologic surgery, please contact:

Zhordania Medical Center – Department of Urology

Dr. Giorgi Khvadagiani MD, FEBU

​

Advanced robotic urology is not only about technology — it is about experience, precision, and responsibility.