Urological Day Surgery
Urological Day Surgery
- Circumcision and Phimosis
- Diagnostic cystoscopy
- Frenulotomy (frenulum cut)
- Hydrocele (fluid accumulation)
- Surgical sperm retrieval (MESA-TESE)
- Spermatocele
- Vasectomy
Circumcision and Phimosis
Circumcision is a procedure that is performed for health-related, aesthetic or religious reasons.
This procedure brings numerous health benefits, such as reducing the risk of inflammation of the glans penis and eliminating problems in the partner, such as frequent yeast infections, which can be caused by repeated infection.
Circumcision also reduces the risk of penile cancer and contributes to the prevention of HPV infection, which can lead to genital warts.
How does the procedure take place?
The procedure is performed under local anesthesia, during which the excess foreskin is removed. The incision is made 7-10 mm from the glans and absorbable suture material is used, so the stitches do not need to be removed. After the procedure, the patient can return to normal activities after 4 weeks of complete wound healing, during which time it is recommended to avoid sexual intercourse and maintain increased hygiene.
Phimosis and tight foreskin surgery
We perform phimosis surgery when the foreskin cannot be retracted over the glans. This condition can lead to foreskin inflammation and other health problems. The surgery is performed under local anesthesia and lasts approximately 30 minutes. After the procedure, the wound heals within 2 weeks, and the stitches dissolve on their own.
Benefits of both procedures:
- Reduced risk of inflammation and infections
- Improved hygiene and prevention of further health problems
- Painless procedure with minimal recovery time
Diagnostic Cystoscopy
Cystoscopy is an endoscopic examination that allows for a detailed examination of the urinary bladder and urethra. It helps diagnose inflammatory, tumor-related and congenital diseases of these organs, as well as the presence of stones in the urinary bladder.
When is cystoscopy performed?
The most common reasons for cystoscopy are:
- Blood in the urine or recurrent microscopic hematuria
- Positive cytological findings
- Sonographic finding of a tumor in the urinary bladder
- Suspicion of a stone in the urinary bladder
- Regular check-up after resection of a bladder tumor
Cystoscopy is performed under local anesthesia, making the procedure painless and gentle.
Frenulotomy (frenulum cut)
The surgical procedure of correcting a shortened frenulum is a simple and effective way to resolve problems caused by a frenulum that is too short, which can prevent free movement of the glans during erection. A shortened frenulum can cause unpleasant sensations during sexual intercourse and in some cases also contribute to premature ejaculation.
Why choose this procedure?
- Painless procedure – The procedure takes place under local anesthesia, which means you will not feel any pain during the surgery.
- Quick recovery – After the procedure, the wounds heal naturally, without the need to remove stitches, which dissolve on their own.
- Effective and permanent solution – The shortened frenulum is cut horizontally so that it no longer restricts the movement of the glans or causes discomfort.
- Increased comfort during sexual intercourse – After the procedure, the experience of sexual intercourse improves and the discomfort caused by the shortened frenulum disappears.
How does the surgery take place?
The procedure is performed using an ultra-thin needle, which applies local anesthesia. Then the frenulum is gently cut and the wound is sutured with absorbable suture material, which does not need to be removed. After the procedure, the wound is treated with antibacterial ointment and a follow-up examination is performed after 5-7 days.
If you have problems with a shortened frenulum, book a consultation and get professional help in resolving these problems. Our clinic offers safe and effective solutions for your comfort.
Hydrocele (fluid accumulation)
Hydrocele is a condition in which fluid accumulates between the membranes of the scrotum, leading to enlargement of one or both halves of the scrotum. This condition is usually painless, but in the case of larger hydroceles, it can cause discomfort during movement, dressing, or wearing trousers.
The causes of hydrocele can include injuries, inflammation or can be unknown. Even though the problem does not manifest painfully, it can be very unpleasant and affect daily life.
How is hydrocele treated?
Hydrocele treatment is surgical and is performed simply under local anesthesia. After a small incision in the scrotum area, the fluid is drained and the scrotal membranes are sutured to ensure absorption of fluid through subcutaneous vessels, thereby preventing its re-accumulation. After the procedure, the stitches are absorbed on their own, so they do not need to be removed.
After the surgery, scrotal swelling may persist, which usually subsides within a few weeks. This procedure is painless and effective, helping patients get rid of the discomfort caused by hydrocele.
Why choose hydrocele surgery?
Quick and effective treatment – The procedure is simple and safe, with minimal recovery time.
Painless surgery – It is performed under local anesthesia, so you will not feel any pain during the procedure.
Long-term result – The hydrocele will not return after the procedure, ensuring long-term comfort.
Surgical sperm retrieval (MESA-TESE)
Urological surgery for sperm retrieval - a solution for male factor infertility.
Urological surgery for sperm retrieval is a specialized procedure that is performed in cases where sperm are not present in the ejaculate, but there is a presumption that they are being produced in the testicles. This procedure is an important part of assisted reproduction methods and helps in the treatment of male infertility caused by sperm transport problems.
How does the surgery take place?
Two main methods are used in this surgery:
MESA (Micro-epididymal sperm aspiration) – aspiration of biological material from the epididymis
TESA (Testicular sperm aspiration) – tissue collection directly from the testicles
The retrieved sperm are then used in in vitro fertilization (IVF) for egg fertilization. The procedure takes place under general anesthesia, so the patient is relaxed during the surgery and experiences no pain.
Why choose this procedure?
Effective method for treating male infertility – It allows sperm to be retrieved directly from the testicles or epididymis when they are not present in the ejaculate.
Safe procedure under general anesthesia – The surgery is painless and is performed under professional supervision.
Increased chances of conception – The retrieved sperm are used for egg fertilization during IVF, giving a chance for successful conception.
Spermatocele
Spermatocele is a cystic formation that is most commonly found above the upper pole of the testicle. It consists of dilated remnants of ducts that connected the testicle with the epididymis during intrauterine development.
This formation is usually painless and a man can feel it as a round, hardened area above the testicle. Spermatocele usually does not affect movement or sexual intercourse, but in some cases it can cause unpleasant pressure or pain in the area of the epididymis.
When is spermatocele treatment needed?
Spermatocele treatment is surgical. If the formation causes discomfort or does not improve, surgical removal of the cyst is performed. During the procedure under local anesthesia, an incision is made in the scrotum, from which the cyst is completely removed. After the surgery, absorbable stitches are used, which do not need to be removed.
Why choose surgery?
Painless procedure – The procedure is performed under local anesthesia, so you will not feel any pain during the surgery.
Quick recovery – After the surgery, healing is usually fast, lasting 7-10 days.
Simple procedure – The surgery is safe and effective with minimal recovery time.
Vasectomy
Vasectomy is a urological procedure that leads to male infertility, and thus to sterilization. It is a permanent contraceptive method that ensures that a man will not be able to fertilize a woman. During the procedure, both vas deferens are severed at a length of approximately 15 mm, thereby preventing the transport of sperm into the ejaculate.
How does vasectomy work?
After a vasectomy, sperm production in the testicles does not stop, nor is it necessary to remove the reproductive glands. However, after the procedure, the sperm cannot reach the ejaculate. The ejaculate does not change visually – neither the volume nor the appearance of the ejaculate changes, and therefore it is not possible to determine whether a man has undergone a vasectomy. Sperm are still produced in the testicles, but are reabsorbed by the body.
Who can undergo a vasectomy?
In Slovakia, a vasectomy can be undergone by any man over 18 years of age who is aware of the irreversibility of this procedure. Before the actual procedure, the patient is thoroughly informed about the course, risks and irreversibility of the procedure.
Benefits of vasectomy:
- Permanent solution for male contraception
- Painless procedure – performed under local anesthesia
- No change in ejaculate – nothing changes visually
Why choose a vasectomy?
If you are convinced that you no longer want to have children, vasectomy is a safe, effective and tpermanent method of contraception. The procedure is quick, does not require hospitalization and after the procedure most men recover quickly.