Open removal of a large bladder calculus Why is it done? To break up a large bladder calculus (stone) that cannot be done endoscopically. It is done with open surgery (a cut above the pubic symphysis). Risk factors causing this: Bladder outflow obstruction BPH with chronic retention. Urethral stricture. Neurogenic bladder. Renal calculi disease. Metabolic […]
Robotic removal of stones where endoscopic procedures have failed. Why is it done? Open/robotic surgery for large or complicated renal and/or ureteric calculi where all other techniques have failed. Seldomly done today. Only if no other options available. As a last resort to remove a large stone. Robotic would be considered first Where equipment […]
Why is it done? To treat a narrowing in the urethra which has formed due to previous damage/injury to the urethra. Causes: After bypass surgery where a drop in blood pressure has caused an area of low blood supply to the urethra; Trauma to the urethra (pelvic fractures/ urethral instrumentation); Sexually transmitted diseases. The procedure […]
Simple surgical removal of a sick or no functioning or painful testis, with/ without the placement of a prosthesis Why is it done? To remove a symptomatic non-functioning testis. To remove remnants of a testis after destruction with abscess or infection / TB. To remove a shattered testis after severe trauma. How is it […]
Partial amputation of penis with penile block for postoperative pain management. Why is it done? Confirmed penis cancer, only infiltrating the distal penis. No lymph nodes involved. How is it done? This procedure is done under general anesthetic. Supine position. The foreskin may be the only affected area and therefore a circumcision is done. Otherwise, […]
Biopsy of penile skin / lesion to confirm or exclude penile cancer Why is it done? To confirm/ exclude the presence of malignancy To find the best effective treatment option for this lesion How is it done? This procedure is done under local or general anesthetic. Supine position. The foreskin may be the only […]
Repair of a ruptured Corpora Cavernosa which may sometimes involve a repair of the urethra as well. How does this occur? Classically seen in guys turning over onto an erect penis in their sleep. Vigorous sex where the erect penis slips out and is re-inserted outside the desired orifice, causing a bend and snap […]
The penile tip has a ventral curvature with erection The frenulum can tear and bleed with intercourse Why is it done? To straighten out a curved penis which is pulled ventrally by a tight frenulum How is it done? This is done under general anesthetic or a penile block. A horizontal cut is […]
Treatment of a low-flow priapism. Why is it done? Prolonged painful erections lasting > 4-6 hours. Usually associated with drug use. Usually associated with intracavernosal administration of Erectile Dysfunction drugs. You would have conservative measures, i.e. Icepacks, Pseudo-ephedrine tablets etc. How is it done? This procedure is done under general anesthetic. Supine position. The […]
Opening of the posterior Urethra on the Perineum Why is it done? Seldom done This procedure is performed when concentric extensive scarring in the urethra (strictures) causes Urinary Retention A long history of strictures. This is alternative to an invasive procedure where long periods of anesthetic are contra-indicated and extensive grafts may be required Usually […]