Entries by agile

Colpocleisis

Permanent closure of the vagina in the elderly who suffer from pelvic organ prolapse and who aren’t and never will be sexually active. Why is it done? The aim of surgery is to relieve the symptoms of vaginal bulge and / or laxity. Improve bladder function. Used where women are elderly and have no desire […]

Conduitoscopy, Retrograde Pyelogram, Stent Management

A diagnostic procedure under general anesthetic where a rigid / flexible cystoscope is placed in your ileal conduit (stoma), ureteric catheters are placed to enable imaging of the upper tracts with/without insertion or removal of ureteric stents. Why is it done? To investigate: Hematuria (blood in the urine) Recurrent upper urinary tract infections Space occupying […]

Cysto-Lithopaxy

Endoscopic procedure used for breaking up a bladder stone. Either with a stone crusher or laser Why is it done? To break up a bladder calculus (stone).   Risk factors: Bladder outflow obstruction. BPH with chronic retention. Urethral stricture. Neurogenic bladder. Renal calculi disease. Metabolic disorders. Malnutrition. Chronic infections. Foreign objects in bladder. How is […]

Cystocoele Repair (Natural)

Repair of an anterior / bladder prolapse using natural tissue and repair of introitis   Why is it done? The aim of surgery is to relieve the symptoms of vaginal bulge and / or laxity. Improve bladder function without interfering with sexual function. How is it done? This procedure is done under a spinal / […]

Drainage Renal Abscess

To drain a large abscess causing low grade to high temperatures. Percutaneous or open procedure for the drainage of abscess. Why is it done? Patients presenting with low grade persistent fevers, even high fevers requiring admission to High Dependency Unit for septicemia. Usually immune compromised patients: Diabetics, Corticosteroid users, Viral immune-deficiency states etc. This condition […]

Dorsal Slit Procedure

Opening of foreskin where a phimosis exists, yet foreskin preservation is a requirement. Also done initially with severe septic para-phimosis as interim procedure until sepsis is cleared and a circumcision is possible Why is it done? Paraphimosis: foreskin stuck behind head of penis. Foreskin preserving. How is it done? This is done under general anesthetic […]

Endoscopic vesico-ureteric reflux surgery (STING)

Indication: Vesical-ureteric reflux. It is a minimally invasive procedure performed with endoscopy. A synthetic material (Bulkamid) is injected at the ureteric opening to prevent reflux Grade 3-4 Vesical-Ureteric Reflux where conservative management has failed with a progressive deterioration in renal function. How is it done? Patients will receive a general anaesthesia. Prophylactic antibiotics is given. […]

Epididymectomy

Surgical excision of epididymis with spermatic cord block Why is it done? To remove a symptomatic painful epididymis post vasectomy.   How is it done? This procedure is performed under general anesthetic. A single incision is made on the midline raphe of the scrotum. The affected testis and vas deference is then extracted through this […]

Excision of Epididymal Cyst – Spermatocelectomy

What is it  A spermatocele (spermatic cyst) is a common, noncancerous, fluid-filled sac that develops in the epididymis, The cyst usually contains milky or clear fluid that may contain sperm.  Why is it done? Enlarged scrotum Could be uncomfortable The cyst can become so big that the enlarged scrotum buries the penis making usual functions difficult, […]

Exision of Urethral Caruncle Prolapsed Urethral Mucosa

Why is it done? Prolapsed urethral mucosa causing pain and bleeding Occurs from childhood to old age   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. This procedure is done with cystoscopy. Your bladder and urethra are […]