Testis Urethra priapism

Priapism

      This is a painful and persistent erection of the penis. The patient should be investigated for

-     Sickle cell desease

-     Leukemia

-     Pelvic molignasicy

      The patient should be warned that the disorder leads to impotence.

Tretment is with Beta agonists

ny questions be sent to drmmkapur@gmail.com

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Testis Ureter male contraception

Male Contraception

Vasectomy is a permanent method of male contreception requiring minimum facilities simple surgical skills and has minimal complication. It is a part of the national family welfare programes.

VASECTOMY OBJECTIVE

-     to achieve permanent male contraception

-     excision of a segment of the vas deferens

-     ligation of the distal and proximal ends

POSITION

      Supine (legs apart)

ANAESTHESIA

      Local

 Bilateral Vasectomy Steps

Patient supine

Clean shave and drape serotal area

Isolate with finger and thumb the vas on one side near neck of scrotum

Inject 1% lidnocaine in skin and dartos overlying the vas

Incise skin and dartos till vas is seen

Hold with allis tissue forceps so as to isolate vas

Separate vas for 3 cm

A segment 1-2 cm is excised between ligature

The skin is closed

Procedure repeated on other side

INSTRUMENTS + SUPPLY

      Vasectomy set

      Scrotal support

      Small specimen container

any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

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Testis Urethra Peyronies Desesse

Peyronie’s Desease

      This is a desease of unknown origin. An area of fibrosis occurs in the corpora or the sheath covering the corpora and results in a deformity making intercourse difficult or impossible

Treatment is by examion of the fibrous tissue. This treatment may be unsuccessful in removing the complant of the patient

any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

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Testis Urethra Penis paraphymosis

 Paraphimosis

      In case of phemosis a forcefull retraction of the prepuce as in intercourse or manu retraction by the patient the forokin is stuck behind the glans the veins are obstructed and oedema occures the condition is painful.

Treatment a manual reduction under local lignocaine is tried. If no success a dorsal slit under local  anaesthesia Thesia or a circumsission under GA is required

any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Now also available on android &smart phones same internet addres