Medical procedures
01
Congenital abnormalities and anomalies of genitalia in children & adults
- Hypospadias–all forms, distal or proximal (1 or 2-stage repair, primary and redo procedure, esppecially redo procedures in adults!)
- Epispadias (total penile disassembly, grafting, urethral reconstruction)
- Disorder of sexual development – intersex (all types of feminization and masculization procedures)
- Penile curvature (plication, grafting)
- Buried penis (penile skin reconstruction)
- Phimosis (circumcision)
- Undescended testicle (orchiopexy)
- Inguinal and umbilical hernias (hernia repair)
- Varicocele (ligation of v. sepraticae)
- Posterior urethral valves (endoscopic resection)
- Testicular atrophy or agenesia (implantation of testicular prosthesis)
02
Abnormalities and anomalies of kidney, ureter and bladder
- Hydronephosis (pyeloplasty, percutaneous nephrostomy)
- Ectopic kidney (repair or nephrectomy)
- Tumors-Wilms (partial or radical nephrectomy)
- Pyelon and ureteral duplication (heminephrectomy, pyelo-pyelostomy, ureteral anastomosis)
- Ureteral reconstruction
- Vesicoureteral reflux (ureters re-implantation or endoscopic instillation of Deflux ® gel)
- Bladder diverticulum (radical repair of the bladder)
- Neurogenic bladder (augmentation procedures)
- Ureterocele (endoscopic of open repair)
3
Urethral surgery
- Urethral strictures-all types: anterior and posterior urethra (urethroplasty with buccal mucosa graft, penile skin flap or end-to-end anastomosis)
- Balanitis xerotica obliterans (stricture repair, glans resurfacing procerdures)
- Urethral trauma
- Urethral fistulas
- Male incontinence- congenital, iatrogenic after prostatectomy, neurogenic (slings: ARGUS, AdVance, ATOM or artificial sphincter implantation– AMS 800 and Zephyr ZSI 375)
4
Female genital surgery
- Female urethral strictures
- Hypertrophic clitoris
- Hypertrophic labia minora
- Urethral cysts
- Stress incontinence (sling implantation)
- Vaginal agenesis - Mayer-Rokitansky syndrome (vaginal reconstruction using recto-sigmoid colon)
5
Male genital surgery
- Penile augmentation (ligamentolysis and dermal-fat graft enhancement)
- Buried penis or trapped penis after radical circumcision (repair with free grafts or vascularized flaps)
- Peyronie – induratio penis plastica (tunica albuginea plication, grafting procedures, prostheses implantation)
- Erectile dysfunction (implantation of inflatable or malleable penile prosthesis – AMS, Zephyr, Coloplast, Promedon)
- Penile disproportion (reduction corporoplasty)
- Penile body or glans injury — accidental or iatrogenic injury repair
- Penile fracture (immediate or delayed repair)
- Micropenis - total phalloplasty procedures
- Low-stage penile cancer (organ sparing surgery)
6
Transsexual surgery according to Standards of Care
Female to male gender reassignment surgery:
- Total phalloplasty (microvascular free flap – latisimuss dorsi or radial forearm flap)
- Urethral reconstruction, glans, reconstruction, implantation of peniole prosthesis
- Metoidioplasty - including vaginectomy, clitoral release and straightening, urethral reconstruction, scrotoplasty and implantation of the testicular prosthesis
Male to female gender reassignment surgery:
- Vaginoplasty – penile inversion technique (including penectomy, bilateral orchiectomy, creation of the vagina using penile inversion technique, clitoroplasty, vulvoplasty)
- Vaginoplasty – sigmoid vaginoplasty (including penectomy, bilateral orchiectomy, creation of the vagina using sigmoid colon segment, clitoroplasty, vulvoplasty)