Dr Jo Schoeman
Urological Surgeon

        

Scrotal Surgery

Epididymectomy

This is the surgical removal of the epididimi of the testes. Usually done for chronic pain after a vasectomy. It does run the risk of injuring the blood supply to the testes leading to testicular atrophy.

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Excision of Spermatocoele / Epididymal Cyst

To treat an enlarged scrotum.

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Hydrocoelectomy

For those guys with an enlarge scrotum caused by excess fluid around their testis. A midline scrotal incision is made and the sac removed. A drain and indwelling catheter is left over night.

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Orchydectomy

This is the surgical removal of one or both testes. One where there may me a small none functioning testis with chronic pain or chronic infections. Removal of both testes as treatment option for prostate cancer where a state of castration is required to keep the cancer under control. Usually this is acheived by means of depot medication rather than surgery.

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Scrotal Exploration for Testicular Torsion

Usually an emergency procedure. Should be done within 4-6 hours after the onset of excruciating testicular pain where the testis has twisted its own blood supply of leading to ischaemia and dying off of the testis. Usually occurs in post pubescent boys.

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Testis Biopsy or Semen Aspiration

To aspirate or biopsy testicular tissue for assisted fertility procedures.

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Vasectomy

This procedure is done for the sterilization of a male patient. Preferably these guys should be older than 35, be in a stable marriage/ partnership and have completed their family. Mutual consent is required from the spouse. Both should be satisfied that this is a permanent procedure.

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