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 […]
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 […]
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 […]
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 […]
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 / […]