Dr Jo Schoeman
Urological Surgeon

        

Service List 11

Inguinal Surgery

Inguinal Hernia Repair

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

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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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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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Varicoeoelctomy (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)

An open procedure where an incision is made in the groin. The spermatic cord is lifted out and all the veins are tied and clipped. The tied off veins will remain distended until the body resolves the clotted static blood in those vessels. 70% successful for recurrences.

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