Do I have the toy for you guys! Ever wondered how fast you urinate? When seeing foam in the bowl is not enough… Remember those days when we could see who urinated the furthest… I am obviously referring to your childhood, out in the bush or garden with your mates, and on the odd occasion […]
Correction of penile chordee / curvature. Why is it done? To treat an acquired deviation of an erect penis. Usually occurs in males 55-65 years of age. Can be associated with previous penile trauma, usually no associated history. A dorsal (up) curvature is more common than a ventral (down) one. Can also deviate to the […]
Why is it done? Male Stress incontinence/ Incontinence Usually after a TURP/TUVP, Radical Prostatectomy in 2% of cases as pre-described complication of surgery How is it done? ·This procedure is done under a spinal /general anesthetic, as decided by the anesthetist. The legs will be elevated into the lithotomy position. A 7cm incision is made […]
Main incontinence surgery for ladies in the previous millennium. Making a resurgence in the post mesh-era. Open retropubic vs robotic assisted procedure. Lower success rates as the Sling procedure, and more invasive. Indication: Confirmed SUI Hypermobile urethra Procedure: Robotic assisted procedure Done under a GA Sterile filed with BETADINE 4 Robotic ports and 2 assistant […]
Open excision of bladder diverticulum. Controversial procedure for the excision of a bladder diverticulum where there is bladder calculus and bladder function is compromised/ Why is it done? This procedure is performed when all other treatment options are exhausted with recurrent symptoms. Symptoms include: a weak stream, nightly urination, frequent urination, inability to urinate, sudden […]
Why is it done? Bladder intestinal fistula is an abnormal communication between bladder and bowel. Causes: Previous surgery Diverticular disease Colonic cancers Radiation This procedure is performed when all other treatment options are exhausted with recurrent symptoms and persistent pneumaturia and fecal uria due to a colonic-vesical fistula Symptoms include: pneumaturia (air in urine), fecal […]
Fulguration of penile condyloma, with penile block Why is it done? One of the non-medical treatment options for condylomas (genital warts).. How is it done? This procedure is done under local or general anaesthetic. Supine position. The foreskin may be the only affected area and therefore a circumcision is done. Otherwise, the affected area is […]
Intra cavernous injections for erectile dysfunction, demonstrating and teaching self-administration. Why is it done? A treatment option for erectile dysfunction. Usually when oral techniques have failed ie Viagra, Levitra and Cialis. Or where the patient wishes to skip the oral phase for something more effective. ED can occur from the age of 40. Risk factors: […]
Surgical removal of foreskin with penile block for post-operative pain relief Why is it done? Religious reasons. Health reasons. Personal reasons. Medical reasons: Narrowing of foreskin -phimosis. Foreskin stuck behind head of penis – paraphimosis. Severe infection of the foreskin and head of penis -balanoposthitis. Cancer of the foreskin – SCC. Trauma. How is it […]