Treatment of a low-flow priapism. Why is it done? Prolonged painful erections lasting > 4-6 hours. Usually associated with drug use. Usually associated with intracavernosal administration of Erectile Dysfunction drugs. You would have conservative measures, i.e. Icepacks, Pseudo-ephedrine tablets etc. How is it done? This procedure is done under general anesthetic. Supine position. The […]
Opening of the posterior Urethra on the Perineum Why is it done? Seldom done This procedure is performed when concentric extensive scarring in the urethra (strictures) causes Urinary Retention A long history of strictures. This is alternative to an invasive procedure where long periods of anesthetic are contra-indicated and extensive grafts may be required Usually […]
Minimal invasive management for the relief of LUTS (lower urinary tract symptoms) or Urinary Retention Why is it done? This procedure is performed when the prostate gland is causing LUTS and you want an alternative to invasive procedures Symptoms include: a weak stream, nocturia, frequent urination, inability to urinate, Urinary Retention This is alternative to […]
Inguinal incision with surgical removal of a testis and its cord for a lesion suspicious for testis cancer, with / without the placement of a prosthesis. Why is it done? For testis cancer. For lesions highly suspicious of testis cancer. How is it done? This is done under general anesthetic. A single incision is made […]
Complete removal of penis with creation of a perineal urethrostomy. Why is it done? Confirmed penis cancer, infiltrating most of the penis. Cancer involving the base of the penis. Lymph nodes are palpable, could also be draining pus. How is it done? This procedure is done under general anesthetic. Supine position. The whole penis […]
Why is it done? This is the alternate surgical management option for a localized prostate cancer. Widely used in the USA in the early 2000’s prior to robotic assisted surgery. Still a great technique to avoid a frozen abdomen due to multiple previous surgeries Transplanted kidney. Obesity Smaller than 50 cc prostates are better Criteria […]
Why is it done? This is the surgical management option for a prostate cancer which fits all the criteria set out by the Urology Society of Australia for Surgery. Largely been replaced by the robotic technique. Indication: PSA less than 20 Gleason 3,4 to low volume Gleason 4,5 contained adenocarcinoma prostate. Higher grades may be […]
Why is it done? Stress urinary incontinence A combination of stress incontinence and detrusor over-activity of which DO is the lesser Involuntary urine leakage with any exertion, coughing or sneezing Risk factors More than 2 pregnancies, big babies Complicated deliveries, episiotomy Smokers Being overweight Diabetes Where Intrinsic Sphincter Deficiency has been proved due to a […]
Placement of a minimally invasive polypropylene sling in the retropubic space with a flexible cystoscopy. Also view the section on urinary incontinence in the TAB above. Why is it done? Stress urinary incontinence. A combination of stress incontinence and lesser degree of detrusor overactivity – mixed incontinence. Involuntary urine leakage with any exertion, coughing or […]
Robotic assisted enucleation of the prostate adenoma. For those large benign prostates where a TURP would be too time consuming, and too dangerous. Generally, prostates over 150cc. Why is it done? This procedure is performed when the prostate gland is enlarged to such an extent that medication cannot relieve the urinary symptoms. Your prostate is […]