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Surgery to place an artificial urinary sphincter (AUS) is an option for men with stress urinary incontinence or leakage of urine associated with coughing, sneezing, or straining. An artificial urinary sphincter consists of a cuff or ring that is placed around the urethra. There is a pump placed in the wall of the scrotum which can be manually squeezed. Upon squeezing the pump, fluid is shifted from the cuff to a balloon or reservoir that is placed behind the abdominal muscles.
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Circumcision is the surgical removal of the foreskin, which covers the end of the penis. Some families decide to circumcise because of religious beliefs, or for cultural or medical reasons. Most circumcisions are done in infancy but it’s a good idea to talk to your doctor first. You may need to wait for some time if your baby is preterm, has newborn jaundice or any other health condition.
ESWL, or extracorporeal shockwave lithotripsy, is a very common, non-invasive method for treating stones in the kidney or ureter, the tube which drains the urine from the kidney to the bladder. It utilizes an energy source which generates a shock wave that is directed at the stone. Shock waves are transmitted to the patient using a water-filled cushion that is placed against the skin. X-rays help aim the shockwaves at the stone and the repeated force caused by the shock waves fragments the stone into small pieces which can then be passed in the urine.
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A vasectomy is a safe and very common procedure which provides the most reliable form for male contraception.We have extensive experience and exclusively perform the “no-scalpel”vasectomy. Patients undergoing vasectomy will usually be sore for a few days after the procedure but typically return to work within 2-3 days and resume exercise and sexual activity within a week. Recovery from the vasectomy requires little more than a few days of rest, an ice pack and oral ibuprofen (i.e. Motrin or Advil).
Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail. There are two main types of penile implants, semirigid and inflatable. Each type of penile implant works differently and has various pros and cons.
The placement of penile implants requires surgery. Before choosing penile implants, make sure you understand what surgery involves, including possible risks, complications and follow-up care.
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This type of surgery destroys cancer cells by freezing them. The surgeon takes care to try to keep healthy cells and tissue from being frozen along with the cancer cells. Several different procedures can be used to freeze cancer cells. For instance, to treat skin cancer, cells are usually frozen using liquid nitrogen that may be sprayed or applied right on the skin. To treat tumors in the body, a thin tube is put into the tumor. The tip of the tube puts intense cold on the tumor.
Most surgical procedures to treat stress incontinence fall into two main categories: sling procedures and bladder neck suspension procedures. For a sling procedure, your surgeon uses strips of synthetic mesh, your own tissue, or sometimes animal or donor tissue to create a sling or “hammock” under the tube that carries urine from the bladder (urethra) or the area of thickened muscle where the bladder connects to the urethra (bladder neck). The sling supports the urethra and helps keep it closed — especially when you cough or sneeze — so that you don’t leak urine.
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Up until the last several years there has been only one endoscopic (telescopic) way to manage the problem of urinary obstruction caused by an enlarged prostate (BPH or benign prostatic hyperplasia). This operation is known as the transurethral resection of the prostate (TURP or “roto-rooter”) and it is still considered an effective operation. Today, however, an exciting new technology has emerged as a nearly comparable option for surgically managing an enlarged prostate – Laser vaporization of the prostate.
Ureteroscopy (URS) is a form of minimally invasive surgery using a small telescope that is passed through the urethra and into the ureter to remove a stone. Often the stone requires fragmentation with a laser which then allows the smaller fragments to removed with a grasping device. Only about 10-15% or urethral stones require surgical intervention. URS is approximately 95% successful in removing stones in the lower ureter and about 85-90% successful in treating and removing stones in the upper ureter and kidney.
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Your operation was performed in an attempt to restore the flow of sperm from your testicles into your ejaculate. It is important that you follow these instructions to maximize your chances of a successful operation. You must perform a semen analysis 8 weeks after surgery. Call Urology to coordinate. Repeat semen analysis is done monthly for the first year or until a conception occurs. It can often take several months before sperm are seen in the ejaculate. You should be able to resume full activity and exercise approximately 2 weeks after surgery.
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