Urological Surgery

Vasectomy Reversal

Vasectomy reversal restores fertility by reconnecting the ends of the severed vas deferens, which is located in each side of the scrotum, or by connecting the vas deferens to the epididymis, the small organ on the back of the testis where sperm matures. These procedures can be accomplished through various approaches, including microsurgery, restoring the passage for sperm to be ejaculated out the urethra.

Transurethral Resection

It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualizing the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH.

Vasectomy

It is a surgical method of male sterilization. It has become one of the requested systems for Family Planning because of its simplicity and safety. It involves cutting or otherwise blocking both the left and right vas deferens, so the man's ejaculate will no longer contain sperm, and he will not be able to make a woman pregnant.

Penis Enlargement

Our society has noticed an increase in consultations from patients that seek to enhance the size of their penis, both in length as in width.

Penis lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the two erectile bodies to the pubic bone (ligamentolysis). The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give a longer physical appearance.

Another technique involves a simple transfer of fat cells. The patient's own fat cells are used for augmentation because they do not run the risk of rejection of the body. The result is a penis of the same shape and length but greater in circumference. Because the penile shaft is narrower than the maximum diameter of the head, the doctor usually fills out the shaft slightly beyond the head's maximum diameter to maintain proper proportion.

Penile Implant (Impotence)

A further method is to replace the two corpora cavernosa with inflatable penile implants. This is performed primarily as a therapeutic surgery for men suffering from complete impotence; an implanted pump in the groin or scrotum can be manipulated by hand to fill these cylinders from an implanted reservoir in order to achieve an erection. The replacement cylinders are normally sized to be direct replacements for the corpus cavernosa, but larger ones can be implanted.

One advantage to this surgery is that an erection can be created whenever desired, for as long as is desired and as firm as desired. However, this surgical procedure can never be reversed.