Urological procedures
Other urological surgeries
Similar conditions may require different treatments.
Assessment and indication
Every decision starts with understanding the case.
Some urological conditions require more localized procedures, but they can cause pain, discomfort, difficulty in sexual life or concerns about the health of the testicles. Recommending surgery begins with a careful diagnosis: problems that appear similar may require different treatments.
01
Phimosis
Phimosis occurs when the foreskin cannot be retracted properly. In adults, it can cause pain, fissures, difficulty with hygiene or recurring inflammation. I also assess whether there are scars or any skin disease that is causing the narrowing.
When surgery is indicated, postectomy removes the foreskin. I explain beforehand what the area looks like after the procedure and the care needed during healing.
02
Hydrocele
A hydrocele is an accumulation of fluid around the testicle that causes an increase in the volume of the scrotum. Not every hydrocele needs to be operated on. I first examine the patient and, when necessary, request an ultrasound to confirm the cause of the enlargement.
If the volume causes discomfort or continues to grow, surgery allows the bag containing the fluid to be treated. Postoperatively, there may be swelling for some time, even after the fluid has been removed.
03
Orchidopexy
Orchidopexy is the surgery used to position and fix the testicle in the scrotum in specific situations, such as the testicle that has not descended properly. The technique and indication depend on the patient's age and the position of the testicle.
Testicular fixation may also be part of the treatment of a testicular torsion. In this case, it is a surgical emergency: sudden and intense testicular pain requires immediate evaluation.
04
Frenuloplasty
When the frenulum, the small band of tissue at the bottom of the glans, is short, it can cause pain, tightness, or minor injuries during sexual intercourse. Frenuloplasty frees and reconstructs this region.
It is important to distinguish short frenulum from phimosis. Sometimes the complaint seems the same, but the treatment needed is different. In some patients, both conditions are present and need to be evaluated together.
05
How do I organize treatment
Each of these surgeries has its own anesthesia, care and recovery time. During the consultation, I explain the indication, what the procedure will be like and when the patient will be able to resume their activities. Other urological and scrotal changes can also be evaluated and treated according to the diagnosis.
Consultation and planning
The indication is defined for each patient.
During the consultation, I evaluate the diagnosis, explain the alternatives and organize treatment and follow-up according to the needs of the case.