Dr Jo Schoeman
Urological Surgeon

        

Service List 10

Scrotal Surgery

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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Excision Spermatocoele / Epididymal Cyst

For those guys with large cysts in their spermatic cords. A midline scrotal incision is made and the sac removed. A drain and indwelling catheter is left over night.

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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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Vaso-vasostomy (Reversal)

This is the procedure used for the reversal of a vasectomy. It requires magnification of surgery. Takes approximately 2 hours with a 50% success rate if done within 10 year period after vasectomy.

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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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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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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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Testis biopsy or Sperm aspiration

This procedure is performed to check for testicular abnormalities causing infertility. Sperm can also be aspirated at the same time when done in conjunction with InVitro fertilization.

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