Urology

Laparoscopic Procedures

Laparoscopy is a minimally invasive surgical technique used in various urological procedures. It involves small incisions and the use of a laparoscope (a thin tube with a camera and light) to view and operate on the internal organs. This approach reduces recovery time, minimizes scarring, and lowers the risk of complications compared to open surgery. Common laparoscopic urological procedures include kidney stone removal, treatment of kidney and bladder cancer, and prostate surgery. Our clinic offers state-of-the-art laparoscopic services, ensuring high precision and optimal patient outcomes.

Prostate Cancer Surgery

Prostate cancer is one of the most common types of cancer in men. Surgery is a primary treatment for prostate cancer, especially when it’s confined to the prostate gland. The most common surgical procedure is a radical prostatectomy, which involves the removal of the prostate gland along with some surrounding tissue. Our clinic utilizes advanced surgical techniques, including laparoscopic radical prostatectomy, which offers more precision and less invasiveness, leading to faster recovery and reduced risk of side effects.

Kidney Surgery – Pyeloplasty, Nephrectomy, Cysts

Kidney surgeries are performed for various conditions, including blockages, kidney cancer, and cysts. Pyeloplasty is a procedure to correct a blockage where the kidney attaches to the ureter. Nephrectomy, the removal of a kidney, is performed in cases of kidney cancer or severe kidney damage. Surgery for kidney cysts involves either draining or removing cysts to relieve symptoms and prevent complications. Our clinic specializes in both open and minimally invasive techniques for kidney surgeries, focusing on patient safety and the preservation of kidney function.

Varicocelectomy

A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs, which can cause pain, swelling, and, in some cases, infertility. Varicocelectomy is the surgical removal of these enlarged veins. The procedure is typically done to improve male fertility and reduce pain. Our clinic offers expert varicocelectomy procedures, employing both conventional and laparoscopic techniques to enhance success rates and minimize discomfort.

Bladder – Diverticulectomy

Bladder diverticula are pouches that protrude from the bladder wall, often caused by chronic obstruction or neurogenic bladder conditions. They can lead to urinary tract infections, stones, and in rare cases, cancer. Diverticulectomy is the surgical removal of these pouches. Our clinic performs bladder diverticulectomy with precision, ensuring minimal disruption to bladder function while addressing the root cause of diverticula formation. This procedure can be performed through open or minimally invasive approaches, depending on the patient’s specific condition and needs.

Prostate Treatments: TURP and Retropubic Open Prostatectomy

Transurethral Resection of the Prostate (TURP) is a common surgery for benign prostatic hyperplasia (BPH), an enlargement of the prostate gland causing urinary difficulties. TURP involves the removal of prostate tissue through the urethra, using a resectoscope. This procedure relieves symptoms by improving urine flow and is known for its effectiveness and lower risk of complications.

Retropubic Open Prostatectomy is performed for larger prostate glands. This traditional surgery involves an incision in the lower abdomen to remove the enlarged prostate tissue directly. While more invasive, it is highly effective for significantly enlarged prostates, offering lasting relief from BPH symptoms.

Kidney Cancer and Ureteric Stones Management

Kidney Cancer Treatment often involves surgical intervention, particularly in the early stages. Options include partial nephrectomy, where only the cancerous part of the kidney is removed, or radical nephrectomy, which involves removing the entire kidney. Advanced laparoscopic techniques are employed to ensure precision and faster recovery.

Ureteric Stones Treatment focuses on removing stones from the ureter, the tube connecting the kidney and bladder. Treatment methods include ureteroscopy, where a thin scope is used to locate and remove the stone, or using a laser to break the stones into smaller, passable pieces.

Bladder Surgery: Cystoscopy and Open Procedures

Cystoscopy is a diagnostic and therapeutic procedure where a cystoscope is inserted into the bladder through the urethra. It’s used for diagnosing, monitoring, and treating conditions affecting the bladder and urethra.

Open Bladder Surgery is reserved for more severe conditions, such as bladder cancer or complex bladder stones. These procedures involve an abdominal incision to directly access the bladder, allowing for comprehensive treatment.

Testicular and Scrotal Surgeries: Testis Tumors

Surgical intervention for testis tumors often involves a radical inguinal orchiectomy, where the affected testis is removed through an incision in the groin. This procedure is crucial for both the diagnosis and treatment of testicular cancer. Our clinic prioritizes both oncological control and cosmetic outcomes in these sensitive procedures.

Vasectomy

A vasectomy is a permanent form of male birth control, involving the cutting and sealing of the vas deferens, the tubes that carry sperm. This outpatient procedure is highly effective, with minimal risks and a short recovery period. Our clinic provides a comfortable and reassuring environment for this straightforward procedure.

Hydrocelectomy

Hydrocelectomy is the surgical removal of a hydrocele, a fluid-filled sac around a testicle that causes swelling in the scrotum. This procedure is typically recommended when the hydrocele is large or causes discomfort. Our surgeons employ techniques that ensure minimal discomfort and rapid recovery.

Circumcision

Circumcision, the surgical removal of the foreskin covering the head of the penis, is performed for various medical, cultural, or personal reasons. Our clinic offers circumcision for all age groups above the age of one year, ensuring a safe and comfortable experience with modern surgical techniques.

Treatment of Erectile Dysfunction

Erectile dysfunction (ED) can be a distressing condition, but various effective treatments are available. Our clinic offers a comprehensive approach to ED, including oral medications, vacuum erection devices, penile injections, and penile implants. Each treatment plan is tailored to the patient’s specific needs, with a focus on restoring sexual function and enhancing quality of life.

Laparoscopic Bladder Prolapse Surgery

Bladder prolapse, also known as cystocele, occurs when the bladder descends into the vagina due to weakening of the pelvic floor muscles. Our clinic offers laparoscopic bladder prolapse surgery, a minimally invasive procedure to correct this condition. This surgery involves small incisions and the use of a laparoscope to lift and secure the bladder back into its normal position. The benefits of this approach include reduced pain, shorter hospital stay, and quicker recovery compared to open surgery.

Urinary Incontinence and Urodynamic Studies

Urinary incontinence, the involuntary leakage of urine, can significantly affect the quality of life. We provide comprehensive evaluations, including urodynamic studies, to assess bladder function and determine the best treatment course. Treatments may include pelvic floor muscle exercises, medication, or surgery, depending on the type and severity of incontinence. Our goal is to improve our patients’ quality of life through personalized and effective treatment plans.

Painful Bladder Syndrome (Interstitial Cystitis)

Painful bladder syndrome (PBS), also known as interstitial cystitis, is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. The exact cause is unknown, making diagnosis and treatment challenging. Our clinic offers a range of treatments for PBS, including lifestyle modifications, oral medications, bladder instillations, and physical therapy. We focus on reducing symptoms and improving our patients’ comfort and quality of life.

Recurrent Bladder Infections

Frequent bladder infections (urinary tract infections) can be distressing and uncomfortable. We offer thorough evaluations to determine the underlying causes and develop effective prevention strategies. Treatment options include short-term or long-term antibiotics, depending on the individual case. Our clinic also provides education on lifestyle changes and home remedies to reduce the risk of future infections.

In patients with long-term symptoms who do not respond to conservative measures, we offer cauterisation (fulguration) of the trigone and bladder with eradication of chronically inflamed lumps and presumed bacterial niches. This often give better long term results.

For more infomation: Chronic Cystitis (August 2019) – Dirk Drent

Bladder prolapse information: Laparoscopic Triple Compartment Pelvic Reconstruction – Dirk Drent

Corrective Surgery for Intermittent Self-Catheterisation

For patients who require intermittent self-catheterisation, particularly those experiencing complications or difficulties, corrective surgery may be an option. Our team evaluates each case to determine the feasibility of corrective surgical procedures, aiming to restore natural bladder function or ease the process of self-catheterisation. These surgeries are tailored to the individual’s condition and needs, with a focus on improving their independence and quality of life.