Dr Jo Schoeman
Urological Surgeon

        

Penile Surgery

16 DOT ‘Nesbitt’ Plication

For the fixing of mild penile deviations, where intercourse is hampered by the acute angle of the penis. Deviations are part of the Peyronies outo-immune disorders with anti-bodies attacking the connective tissues.

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Cauterization of Penile Condylomata

One of the non-medical treatment options for condylomata (genital warts).

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Caverject Intra-cavernosal Injections

Prostaglandin intra-cavernous injections in the Corpora Cavernosa, to induce an erection, where conservative management with oral preparations have failed.

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Circumcision

A small procedure where the foreskin of the penis is surgically removed. The indications are mostly indicated, yet some men have this procedure done by personal preference.

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Distal Hypospadia Repair

Surgical reconstruction of an abnormal opening of the urethra on the tip of the penis.

A circumcision should never be done prior to the repair, as foreskin may be used in the repair.

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Dorsal Slit procedure

To treat Paraphymosis - Foreskin stuck behind head of penis and to preserve the foreskin.

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Meatotomy

The surgical opening of a very narrow urethral meatus. Causes are either congenital or following trauma and infection.

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Partial Penectomy

Removal of the tip or distal end of the penis due to Squamous cell cancer of the penis.

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Penile Biopsy

Excision biopsy of small lesions to exclude penile cancer, or only a biopsy in larger lesions where a partial or total penectomy is considered.

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Penile Fracture Repair

Sudden rupture of the corpora cavernosa during an erection, usually during sexual intercourse or classically with nocturnal erections and the patients turns over on his erect penis in his sleep.

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Penile Shunt / Aspiration

Indicated for a prolonged painful priapism (prolonged erection). A short circuit is created between the Corpora Cavernosum and corpora spongiosum. Does have some erectile dysfunction as complication.

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Radical Penectomy

Indicated for invasive squamous cell penile cancers of the base of the penis or with severe destruction to the organ. May progress further to a inguinal lymphadenectomy. The urethra is opened onto the perineum.

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