Ambulatory surgery
Circumcision (circumcision)
Circumcision in men or boys can be performed for various reasons. Circumcision reasons can be medical, such as foreskin stenosis or recurrent foreskin inflammation, but also cosmetic or religious.
The routine procedure, which takes about 20 minutes, is performed on an outpatient basis under local anesthesia or under general anesthesia as in the case of children. The pain after surgery can usually be managed quickly with common painkillers such as paracetamol or metamizole. A one-day dressing is required. After that, no dressing change is usually necessary. Sexual intercourse is prohibited until wound healing is complete.
Male sterilization (vasectomy)
Vasectomy is the cutting of vas deferens and is one of the safest contraceptive measures. Male sterilization can be performed on an outpatient basis under local or general anesthesia. Approximately 5mm of vas deferens are cut out on the right and left side. The ends of the vas deferens are sclerosed, folded over and ligated. Approximately 3 months after the procedure, the ejaculated sperm is examined for the absence of sperm under a microscope in our practice. This will then determine or confirm the inability to conceive. The procedure to achieve permanent infertility has no effect on potency, erectile function or libido.
Hydrocele (water hernia)
Hydrocele testis or water hernia called is an increasing accumulation of water in the scrotum between the testis and the testicular sheath (tunica vaginales). The hydrocele can be treated surgically for cosmetic reasons or in case of discomfort. Puncture of the hydrocele would have to be refrained from. Surgical treatment is performed under general or spinal anesthesia. Through an incision in the scrotum, the testicle is exposed, then the hydrocele is opened, The fluid-producing expanded testicular sheath is shirred or resected. After the procedure, physical rest is required. If desired, our patient can be hospitalized for one night for monitoring. The procedure does not affect potency, erectile function or libido. The testicular tissue remains undisturbed and preserved.
Spermatocele (cyst of epididymis)
Spermatocele or epididymal cyst is a benign round-shaped accumulation of water in the epididymal organ, which can occur in all age groups. Surgical treatment is not always necessary and is only indicated in cases of discomfort. We perform the procedure on an outpatient basis under general anesthesia or spinal anesthesia. The testicle with the affected epididymis is exposed through a small incision in the scrotum, then the cyst is excised while sparing the surrounding structures such as the testicle and blood vessels. Physical rest is required after the procedure. If desired, our patient can be hospitalized for one night for monitoring. The procedure does not affect potency, erectile function or libido.
Urethral slit (urethrotomia interna)
Urethral stricture causes micturition difficulty and is detected endoscopically. In urethral slit, the narrowing of the urethra is incised under vision with a so-called endo-scalpel. When the urethra is wide enough again, the urinary bladder is drained for 3-5 days usually with silicone catheters. In exceptional cases, we can dispense with the catheter drainage.
Meatusplasty
Meatus urethrae externus is the urethral orifice, when this place is narrowed, difficulties with urination may occur. Meatusplasty is used to surgically remove the narrowing. In this procedure, the urethra is opened longitudinally along the length of the narrowing and left open. The 10-minute procedure is usually performed on an outpatient basis under local anesthesia. Only in advanced cases and severe scarring, bladder diversion with silicone catheters may be required for 2-5 days. Sexual intercourse is prohibited until wound healing is complete.
Frenulumplastik
The treatment of a shortened penile frenulum (frenulum breve) is symptom-oriented. Slightly bleeding tears in the penile frenulum can be treated with compression. More severe bleeding may also occur. These may require suturing of the torn frenulum. Correction of the shortening (frenuloplasty) is performed under local anesthesia. In an outpatient 10-minute procedure, the penile frenulum is lengthened. After the procedure, it is rarely necessary to take painkillers. Sexual intercourse is prohibited until the wound healing is completed.
