Medical and surgical treatments for a range of male genital and urological problems.

Artificial Urinary Sphincter

An artificial urinary sphincter is a device that is designed to compress the urethra in order to treat stress incontinence (involuntary urinary leakage), eg post-prostatectomy incontinence.

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Circumcision is removal of the foreskin, usually performed either under general anaesthetic, but it can also be done with a local anaesthetic if preferred. The operation takes around 25 minutes.

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Epididymal Cyst Removal

Epididymal cysts are benign and harmless fluid-filled swellings in the drainage tubes of the testicles. However if they grow to a large size, they may cause discomfort, difficulty walking, sexual difficulties.

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Hydrocoele Repair

Hydrocoele repair involves the drainage of a fluid collection around the testicle, and repair of a defect in the fluid sac surrounding the testicle to prevent further accumulation of fluid.

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Lue/Incision & Grafting

Incision and Grafting (Lue procedure) for Peyronie's disease is sometimes indicated where the penile curvature exceeds 60 degrees, and is combined with a degree of erectile dysfunction.

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Male Sling Procedure

This procedure was developed to help men with urinary incontinence due to sphincter weakness or insufficiency in the setting of prior pelvic surgery.

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Nesbit Procedure

This is probably the commonest intervention for Peyronie's disease, and is on the whole a very successful operation. It is generally indicated in men with a penile curvature of less than 60 degrees.

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Penile Prosthesis

Often referred to as penile implants, these are an excellent option when non-surgical therapies for erectile dysfunction (such as tablets or injection treatment) have failed.

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Surgical Sperm Retrieval

Men with no sperm in the ejaculate (azoospermia), or sometimes very low numbers and quality of sperm (OATS) may require...

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Urethral Strictures are areas of scar tissue and obstruction in the urethra (water-pipe). Options for treatment for urethra strictures are either endoscopic or open repair (urethroplasty).

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Varicocoele Repair

Varicocoeles are abnormally dilated testicular veins (pampiniform plexus) in the scrotum, found in approx. 15% of the population, 35% of men (primary infertility) and in 75-80% of men (secondary infertility).

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Vasectomy is one of the most effective and popular methods of contraception, and takes around 20 minutes to perform under a local anaesthetic.

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Vasectomy Reversal

Around 5% of men who have previously undergone vasectomy decide to have it reversed. This microsurgical technique, offers the best, most natural and most cost-effective way of starting a family.

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