Penis proceduress

Penis problems can vary greatly in nature and severity, from superficial issues such as benign neoplasms to urinary tract issues like urethral strictures and penile cancer. Dr. Choonara will consult with each patient to determine to best surgical course of action.

Conditions:

Circumcision (sleeve method)

Circumcision refers to the surgical removal of the foreskin from the end of the penis. The procedure may be performed on adults to treat several conditions, including phimosis (in which the tip of the foreskin is narrowed) and balanoposthitis (in which the foreskin and glans become inflamed). The procedure may also be performed for personal, religious, or cosmetic reasons.

Dr Choonara typically makes use of the sleeve method, a procedure which involves removing the foreskin from its retracted position. It generally takes around 10 days to recover from circumcision, and normal physical activity can be resumed after this time. It can take up to six weeks before sexual activity can be resumed.

Excision of benign neoplasms

Superficial penis problems include benign tumours (also called benign neoplasms) and other non-cancerous skin lesions. These are collections of cells and other forms of tissue proliferation (such as moles and lipomas) that lack the ability to invade neighbouring tissue or to metastasize.

Dr. Choonara will have to consult with each patient on an individual basis, but the excision of benign neoplasms from the penis is usually a relatively straight-forward surgical procedure. Recovery time from the removal of non-cancerous skin lesions from the penis is swift.

Glansectomy / partial penectomy for penile cancer

If a patient has been diagnosed with penile cancer they will be advised by Dr. Choonara on their surgical options. If the affected area is limited to the glans (the bulbous tissue at the end of the penis), then a glans amputation (glansectomy) might be enough to stop the spread of greater male organ cancer.

Penile shaft tumours may benefit from a partial penectomy with glans reconstruction. Recovery time from this partial penectomy procedure (the removal of a section of the penis) will vary, and regular follow-up tests will be mandatory to ensure the success of the glansectomy or partial penectomy.

Hypospadias Repair

Hypospadias is a birth defect that affects the structure of the penis. When a baby is born with the condition, their urethra typically ends on the underside of the penis, rather than at the top end. In most cases, Dr Choonara will recommend surgery to repair the defect when the baby is between six months and two years old.

During hypospadias repair surgery, Dr Choonara will create a tube with a small section of existing foreskin. This works by lengthening and opening the urethra at the tip of the penis. Sometimes, it is necessary for Dr Choonara to place a temporary catheter into the urethra to make sure that it remains in the correct shape.

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