Testes/Scrotum procedures

Sore testicles and testicular problems are not limited to testicular cancer. Dr. Hayden will consult each patient to determine the best course of action to pursue, and – if necessary – the most appropriate method of testicular problem treatment.

Conditions:

Vasectomy

A vasectomy is a procedure that is performed as a form of permanent contraception. It is also known as male sterilisation. During the procedure, Dr Choonara will make two small incisions on either side of the scrotum, allowing him access to the vas deferens. He will then cut and seal the tubes, preventing sperm from reaching the urethra. Vasectomy is a highly effective procedure, although it can take up to three months for it to be safe to have unprotected sex, as existing sperm needs to leave the body first. Dr Choonara will perform a semen analysis and advise you when you are able to have unprotected sex.

Orchidopexy

If your child is born with undescended testicles, Dr Choonara may recommend a surgical procedure known as orchidopexy. During the procedure, Dr Choonara will make an incision in your baby’s groin where the undescended testicles are located. He will then carefully reposition the testicles and secure them in the correct position with the use of stitches. The procedure may be performed on one or both testicles, depending on the situation. The surgery takes approximately one hour and the patient is usually discharged on the same day.

Orchiectomy

Orchiectomy is a procedure in which one or both testicles are surgically removed. Dr Choonara may recommend the procedure if you have been diagnosed with prostate cancer. There are several types of orchiectomy. A simple orchiectomy procedure involves the removal of one or both testicles through a small incision in the scrotum, while a radical inguinal orchiectomy refers to a procedure in which the testicles are removed through an incision in the lower abdomen.

During a subcapsular orchiectomy, Dr Choonara will remove the tissue around the testicles, keeping the scrotum intact. A bilateral orchiectomy involves the removal of both testicles.

Hydrocelectomy

Hydrocelectomy is a procedure which is performed to repair a hydrocele. A hydrocele refers to a build-up of fluid near a testicle, which can cause some discomfort in the scrotum. In many cases, the condition resolves itself, although hydroceles can grow bigger over time, causing swelling in the scrotum and pain in the testicles.

During the procedure, Dr Choonara will make a small incision in the scrotum and drain the fluid. Once all the fluid has been drained, the scrotum will be stitched closed. The procedure is typically performed as an outpatient surgery, which means you will be able to go home once the procedure is complete.

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