
Cleveland Clinic Abu Dhabi, part of the M42 group, has successfully conducted the world’s first transcontinental robotic-assisted focal therapy procedure for prostate cancer. The groundbreaking procedure represents unprecedented collaboration between specialists separated by thousands of kilometres, with real-time coordination between Cleveland Clinic facilities in Abu Dhabi and Ohio.
The innovative surgery enabled synchronous collaboration between Dr Ruben Olivares, a urologist from Cleveland Clinic’s Glickman Urological Institute in Ohio providing remote guidance, and Dr Waleed A. Hassen, Department Chair of Urology at Cleveland Clinic Abu Dhabi, who managed the procedural execution onsite.
Technical implementation
Focal therapy represents a non-invasive treatment approach that precisely targets specific prostate sections using ultrasound beams, eliminating requirements for major surgery or radiation. The Focal-One system enhances this precision through a robotic arm that delivers controlled ultrasound treatment.
Dr Hassen explained: “There are many ways to treat prostate cancer, and one of the options is focal therapy. It’s a non-invasive procedure where we use a robotically controlled arm to deliver treatment. Once the treatment plan is in place, the machine delivers it precisely. This is proof of principle that we can contour the prostate, design the plan, and execute it remotely.”
Clinical significance
Remote procedures offer significant potential to address healthcare inequities by providing specialised surgical expertise to underserved regions. The technology combines local and global clinical expertise while enabling minimally invasive treatment options for patients who might otherwise lack access to advanced care.
Dr Olivares noted: “We are thrilled to have successfully performed the first-ever transcontinental robotic assisted focal therapy procedure for prostate cancer by working in tandem with our partners at Cleveland Clinic Abu Dhabi. Here at Cleveland Clinic, we use cutting-edge technology, but unfortunately, it’s not available in many places throughout the
U.S. and in the world.”
Future applications
The successful procedure extends beyond prostate cancer treatment, potentially opening new pathways for surgical education and international clinical collaboration. The achievement coincides with Cleveland Clinic Abu Dhabi’s decade of clinical excellence and ongoing integration of advanced healthcare technologies.




