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 / […]
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 […]
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 […]
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. […]
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 […]