Entries by agile

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 […]

Excision of Urethral Diverticulum – Female

Why is it done? Usually, an infected peri-urethral gland blocks and becomes infected Causes a bulge which interferes with urination Can mimic a vaginal prolapse Usually, an MRI of the urethra delineates this beautifully. How is it done? This procedure is done under a general anaesthetic, as decided by the anaesthetist. The legs will be elevated […]

Excision of Urethral Diverticulum – Male

Why is it done? Usually, an infected peri-urethral gland blocks and becomes infected, UTI symptoms Causes a bulge which interferes with urination Can mimic prostate enlargement LUTS Dribbling after urination Usually, a retrograde urethragram the urethra delineates this beautifully. How is it done? This procedure is done under a general anesthetic, as decided by the […]

Extra-Corporeal Shock Wave Lithotripsy – ESWL

ESWL Non-invasive technique of shattering renal or ureteric calculi using sound waves. This service is provided by Queensland Lithotripsy Service who brings their lithotripter to the hospital chosen for your procedure. Why is it done? Renal stones of any size, usually larger than 1cm obstructing/ non-obstructing the renal pelvis or ureter. Conservative form of treatment […]

Sacro Neuromodulation – First Stage

The aim is to alter the neurotransmission from the Spinal Centre to the Bladder via the S3 nerve Why is it done? To alter the neurotransmission from the spinal centre to the bladder: Refractory overactive bladders with urge incontinence (OAB) Underactive bladders (UAB) Chronic pelvic pain Fecal incontinence Causative factors Undetermined Neurogenic causes such as […]