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Urology

1. Circumcision or surgical removal of the foreskin

iVF Riga offers to perform a circumcision or removal of the foreskin at our clinic.

What is a circumcision?

Circumcision is a surgical removal of the foreskin. It can be performed for medical, or ritual purposes.

The procedure helps in getting rid of unpleasant feelings like foreskin narrowing that prevents sliding the foreskin over the glans; it is recommended if chronic inflammations occur in the foreskin and the area of the glans, if there are foreskin neoplasms, or for cosmetic purposes.

How does the surgery take place?

The surgical intervention lasts from 30 to 60 minutes, and is performed in the local, general or spinal anaesthesia.

During the operation, a cut is performed in the foreskin around the glans, then it is closed with sutures, and the patient may return home on the same day.

Post-operative period

Discomfort in the penis may continue for 2 to 7 days. If doctor’s recommendations are followed, the risk of complications is minimal.

On the day after the procedure, the patient should arrive for a scheduled check that includes changing the dressing. During the post-operative period, the patient should avoid physical and sexual activity for 14 to 20 days.

Circumcision can be performed at iVF Riga Andrology and Urology Centre. For appointments: (+371) 67 111 117; (+371) 25 641 022; ivfriga@ivfriga.eu

2. Hydrocele excision and plastic surgery

iVF Riga offers hydrocele excision and plastic surgery.

What is hydrocele?

Hydrocele is accumulation of fluids (usually dozens of millilitres) between testicular membranes due to reflux disorders in lymphatic vessels. Hydrocele may be hereditary, as well as acquired. Usually, the accumulation is slow and does not present any symptoms except a visual defect. If the hydrocele is more severe, a surgery is indicated.

How does the surgery take place?

The surgical intervention lasts from 30 to 60 minutes, and is performed in the general or spinal anaesthesia.

During the operation, a cut of 7 to 10 cm is performed in the scrotal sac to remove the hydrocele, and then it is closed with sutures, and the patient may return home on the same day.

Post-operative period

Discomfort in the scrotal sac may persist for 2 to 4 days. If doctor’s recommendations are followed, the risk of complications is minimal.

On the day after the surgery, the patient should arrive for a scheduled check that includes changing the dressing. During the post-operative period, the patient should avoid physical and sexual activity for 7 to 10 days.

Hydrocele excision and plastic surgery can be performed at iVF Riga Andrology and Urology Centre. For appointments: (+371) 67 111 117; (+371) 25 641 022; ivfriga@ivfriga.eu

3. Laparoscopic varicocelectomy (surgery to repair a varicocele in the scrotum)

What is varicocele?

Varicocele is an abnormal enlargement of testicular veins. It is a quite widespread disease diagnosed in 10 to 15% of all men. Varicocele increases temperature in testis and interferes with sperm development, and may result in male infertility (found in 40% of male patients with infertility); if varicocele is more severe, it may cause testicular atrophy. Varicocele symptoms

  • Palpable venous “lump” in the scrotal sac above the testis
  • Occasionally, heaviness in the testis, in particular during an intercourse or physical activity
  • If the varicocele is more severe, a smaller testis
  • Rarely, pain, discomfort in the testis and the inguinal canal during physical activity or while coughing

If any of these symptoms develop, see an andrologist or a urologist.

The Andrology and Urology Centre iVF Riga offers a minimally invasive endoscopic surgery: laparoscopic varicocelectomy (a surgery to repair a varicocele in the scrotum).

How does the surgery take place?

To perform a laparoscopic varicocelectomy, small cuts are made in the patient’s abdomen to insert an endoscope with a camera and very thin special instruments used by the operating urologist to isolate and ligate the enlarged veins. The surgery takes 15 to 20 minutes. It does not require any special preparation. The patient should stay at the inpatient facility for no more than one day.

Advantages of the laparoscopic varicocelectomy

As this minimally invasive surgery does not require a large cut, it is less traumatic, does not cause haemorrhaging and takes little time. During the post-operative period, the patient does not feel strong pain, and may feel only slight discomfort. No lengthy stay at an inpatient facility is required (usually one day only), and the patient can quickly return to work.

After a laparoscopic varicocelectomy, the recovery period lasts for approximately 3 to 4 weeks. During this period of time, any sexual activity, hot and salty foods should be excluded, and physical activity should be limited.

4. Spermatocele excision

What is spermatocele?

Spermatocele is one or several cysts that develop in the epididymis. Spermatozoids that have completed their maturation cycle in the testis end up in the epididymis where their final maturation takes place during movement from the head of the epididymis to its body and later to its tail (where they accumulate waiting for ejaculation).

Small spermatocele cysts are often found in men (in approximately 30% of all men); usually they are small and filled with the lymphatic fluid, and do not cause any problems. They may be hereditary or acquired during one’s life (as a result of testicular trauma). They rarely cause any pain, but men often find a smaller or larger “lump” above the testis.

Occasionally, these cysts may be very large or purulent, and interfere with normal functioning of the epididymis during the spermatozoid development process. If you have found such “lump” just above the testis, please see an andrologist at the iVF Riga Andrology and Urology Centre who will perform an ultrasound examination of your scrotal sac to decide if the cyst should be removed surgically via the spermatocele excision.

How does the surgery take place?

The surgical intervention lasts from 30 to 60 minutes, and is performed in the general or spinal anaesthesia.

On the day after the procedure, the patient should arrive for a scheduled check that includes changing the dressing. During the post-operative period, the patient should avoid physical and sexual activity for 7 to 10 days.

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