Hidden Penis
Penile concealment is an uncommon urologic condition that often prompts concerned parents to seek the care of a urologic surgeon. Some patients are candidates for intervention, but others can be…
UROLOGY
Vasovasostomy and Vasoepididymostomy
Vasectomy reversal can be performed under local, regional, or general anesthesia; however, the authors prefer general anesthesia to limit motion artifact while working under the operating microscope. Patient preparation includes…
Retroperitoneal Lymph Node Dissection
Testicular cancer is a rare disease with approximately 8800 new cases diagnosed annually. However, it is the most common solid tumor in men aged 15 to 35 years. Retroperitoneal lymph…
Testis-Sparing Surgery for Benign and Malignant Tumors
Simple Orchiectomy Simple orchiectomy provides an effective means of achieving castrate levels of testosterone for patients with prostate cancer or for surgical castration of transgender patients who identify as female…
Male Urethral Sling
Background Prostate surgery for benign or malignant disease carries a risk of inducing male stress urinary incontinence (SUI). Surgical correction was previously limited to the artificial urinary sphincter (AUS), which…
Radical Orchiectomy
Radical orchiectomy is typically the first step in any multidisciplinary approach to the management of men with testicular germ cell neoplasia. It yields histologic confirmation of the diagnosis, provides important…
Varicocele Ligation
Preoperative Planning Palpate the spermatic cord while the patient is erect. Proceed with varicocele ligation in the setting of a palpable varicocele ( Table 108.1 ) in a patient who…
Autologous Pubovaginal Sling
Indications The autologous pubovaginal sling is accepted as one of the gold-standard treatments for female stress urinary incontinence (SUI). The original indications for the pubovaginal sling include the correction of…
Neuromodulation
Introduction Neuromodulation in the form of sacral nerve modulation (SNM) for the treatment of refractory voiding dysfunction was first described by Tanagho and Schmidt in 1998. A commercially available device,…
Epididymectomy
Anatomy and Physiology of the Epididymis The epididymis is a long, tightly coiled single tubule located on the posterolateral aspect of the testis. The epididymis has a rich blood supply…
