Uorology

Varicocele
A varicocele is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum). A varicocele is similar to a varicose vein you might see in your leg. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility.
The operation 
A variety of surgical and nonsurgical approaches have been advocated for varicocelectomy. They include minimally invasive procedures, such as laparoscopic varicocelectomy and transvenous percutaneous embolization, and the traditional open surgical approach (retroperitoneal, inguinal and subinguinal). The current standard of care is to perform open surgical varicocele repair with microscopic assistance to minimize possible complications.
After The Operation
After surgery, you may have slight pain in your groin for 3 to 6 weeks. Your scrotum and groin may be bruised and swollen. This will go away in 3 to 4 weeks. You will probably be able to return to work or your normal routine in 2 to 3 days after microscopic surgery, depending on your job.
 


Prostatectomy
Prostatectomy or radical prostatectomy is surgery to remove all or part of the prostate gland, usually to help relieve symptoms of prostate enlargement or curative treatment in cases of prostate cancer. Typically after men reach age 40 and beyond they begin experiencing prostate enlargement. This is more common as men reach age 60 and older. Usually as this happens urination can become difficult or painful. Many men find they must urinate more frequently as well. Sometimes a procedure known as transurethral resection of the prostate or TURP can help relieve some of the symptoms of prostrate enlargement.
The Operation
An incision is made in the lower abdomen and the pelvic lymph nodes may be removed if metastases or spread of the cancer into the lymph is suspected. If the lymph nodes do contain cancer the surgery may not continue because removal of the prostate will not cure the patient and the complications of surgery can be too extreme. The prostate gland is often removed if all is clear and a catheter is then inserted into the man’s penis to help fluid drain. This is removed after roughly 2 to 3 weeks following surgery.
After the Operation- At Home
Following the surgery a patient will often take antibiotics to help prevent infection. Often patients also receive IV fluids for up to 24 hours to promote a healthy flow or urine. This can also help prevent infection. Patients are also encouraged to promote the flow of blood and circulation in their body by getting up and moving if possible. Patients can also pump their legs. Patients often stay in the hospital for one or two days following uncomplicated surgeries.

 

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