Hydrocele and epididymal cyst repair

Hydrocele repair is an outpatient procedure to remove a hydrocele. A hydrocele is a collection of fluid in the scrotum and is sometimes the cause of scrotal swelling.

A hydrocele repair may be required if the hydrocele is causing pain or inconvenience.

An epididymal cyst is a harmless fluid filled growth in the epididymis. Surgical repair may be required if it causes discomfort and affects physical activity.

Orchidectomy

Orchidectomy is the surgical removal of one or both testicles. It may be required for the treatment of testicular cancer and as part of the multimodality treatment of advanced prostate cancer. Occasionally, an orchidectomy is performed in the setting of advanced infection, failed repair after severe trauma or testicular torsion.

There are two types of orchidectomies:

• Simple orchidectomy – for non-cancerous conditions, involves an incision on the scrotum to remove the testicle
• Radical orchidectomy – for testicular cancer, involves an incision in the groin to remove both the testicle and spermatic cord

The removed testicle can be replaced with a prosthesis at the same time, through the same incision.

Penile prosthesis

A penile prosthesis implant is primarily used for the treatment of erectile dysfunction. Other conditions for which men may require a penile prosthesis include priapism, Peyronie’s disease or incontinence.

Insertion of a penile procedure is often considered a final treatment for men who have been unsuccessful with other treatment options.

Penile straightening

Penile straightening is a procedure to correct curvature of the penis during erection. Depending on the degree of curvature, the type of operation needed differs. The aim of any procedure is the same — to get a functionally-straight penis (less than 20º curvature). It is important to note that no penile straightening procedure will be able to return the penis to its original, pre-curvature state.

At URODOC, our team is well versed in the different techniques for penile straightening, to best suit the individual patient’s condition.

Varicocele repair

Varicocele repair, also called varicocelectomy, is a surgery to remove enlarged veins in the scrotum varicocele.

Varicocele repair can be done as an open surgery through a small incision in the groin to tie or clip the swollen veins. In open surgery, an operating microscope can be used to tie off the veins. This improves success rates and reduces the risk of complications. Varicocele repair can also be done as a keyhole (laparoscopic) surgery, with several small ‘keyhole’ incisions.

At URODOC, we offer both microsurgical varicocelectomy and keyhole varicocele repair. Our team will discuss with you which method is the most suitable for your condition.

ESWT for ED

Extracorporeal shockwave therapy (ESWT) can be used for the treatment of the following urological conditions:

• Erectile dysfunction (ED)
• Peyronie’s disease
• Chronic prostatitis/CPPS

ESWT delivers low-intensity shocks to the targeted area to stimulate the tissue to relieve pain and/or promote healing, with little to no side effects. Treatment regimen involves multiple rounds of shockwave therapy over several weeks, depending on the condition.

At URODOC, our team is experienced in using ESWT to treat urological conditions with a treatment protocol optimised for each patient. ESWT can be carried out comfortably in our clinic procedure room.