Dr Jo Schoeman
Urological Surgeon

        

Service List 9

Penile Surgery

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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Neonatal Circumcision

A small procedure performed under General anaesthetic, where the foreskin of the penis is surgically removed. This is usually done within the first 6-12 weeks of life. Modern society dictates that this may be unacceptable as personal choice has been removed. Careful consideration by parents is to be given regarding this procedure.

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Dorsal Slit

The surgical opening of the foreskin either as an emergency procedure for a paraphymosis, or where the gent refuses to loose his foreskin.

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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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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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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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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 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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Cauterization of Condylomata (warts)

Surgical removal of penile warts, using cauterization, Heat current.

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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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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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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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