Dr Jo Schoeman
Urological Surgeon

        

Inguinal Surgery

Inguinal Hernia Repair

A referral is usually done to a General Surgeon

Open repair of indirect or direct inguinal hernia with or without the use of a mesh. Involves a groin incision.

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Inguinal Lymphadenectomy

This is an adjunctive procedure for penile cancer. This is done for aggressive squamous cell carcinoma of the penis 6 weeks after a penectomy to remove affected lymphnodes in the groin. Is associated with high morbidity due to extensive swelling of legs and non-wound healing.

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Radical Orchydectomy

Removal of a testis afflicted with testis cancer. This is removed through the groin as to not change the lymphatic drainage and inadvertently alter the metastasis pattern of the disease.

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Varicocoelectomy (Laparoscopic)

This is the endoscopic technigue of tying the spermatic veins off. It is done with camera port at the umbilicus and 2 other ports for the instruments. Keep in mind that the swelling in the scrotum does get worse before improving 3-6 months later. There is a 30% recurrence rate.

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Varicocoelectomy (Open)

Open infra-inguinal ligation of testicular vein-plexus to treat Painful scrotal varices or  Male infertility.

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