Circumcision and varicocele surgery?
Hello Doctor: I am a patient who previously underwent a septoplasty at a major hospital in Keelung.
Unfortunately, the surgery, which is a basic procedure for an ENT specialist, was not successful and nearly resulted in a nasal perforation.
I eventually sought help from a highly skilled physician in central Taiwan who was able to resolve the issue without complications.
Recently, I have been experiencing problems with phimosis and varicocele and am considering surgery.
I am thinking of coming to your clinic for the procedure, but I would like to know if there are any risks associated with such surgeries.
Have you successfully performed similar surgeries for many patients, helping them to regain their health? After my previous experience, I have become very cautious and meticulous in choosing my doctors.
Thank you for your response.
DEAR, 20~29 year old female. Ask Date: 2010/07/14
Dr. Xu Wencang reply Urology
Hello, in response to your questions:
1.
Circumcision surgery, like any other surgical procedure, may result in bleeding, wound infection, and poor wound healing.
Postoperatively, patients need to attend outpatient follow-ups for dressing changes for one week.
Most patients typically have their wounds healed within a week.
2.
Varicocele surgery, according to literature reports, may result in persistent wound pain for some individuals, while the occurrence of scrotal swelling is quite rare.
The recovery period is approximately one week.
Reply Date: 2010/07/14
More Info
When considering circumcision and varicocele surgery, it is essential to understand the associated risks and success rates, especially given your previous experience with surgery. Both procedures are relatively common and generally safe, but they do come with potential complications that patients should be aware of.
Circumcision Risks and Success Rates:
Circumcision is the surgical removal of the foreskin from the penis. The risks associated with circumcision include:
1. Bleeding: This is one of the most common complications. While most bleeding can be controlled during the procedure, some patients may experience post-operative bleeding that requires further intervention.
2. Infection: Any surgical procedure carries a risk of infection. Proper post-operative care, including keeping the area clean and following the surgeon's instructions, can minimize this risk.
3. Pain and Discomfort: Patients may experience pain after the procedure, which can usually be managed with over-the-counter pain relief medications.
4. Scarring: Some patients may develop excessive scarring or changes in the appearance of the penis, which can be a concern for some individuals.
5. Meatal Stenosis: This is a narrowing of the urethral opening, which can occur in some cases and may require further treatment.
The success rate of circumcision is generally high, with most patients experiencing satisfactory outcomes. Complications are relatively rare, and when they do occur, they are often manageable. The overall satisfaction rate among patients who undergo circumcision is quite high, often reported at over 90%.
Varicocele Surgery Risks and Success Rates:
Varicocele surgery is performed to treat varicose veins in the scrotum, which can lead to discomfort and fertility issues. The risks associated with varicocele surgery include:
1. Infection: Similar to circumcision, there is a risk of infection at the surgical site.
2. Bleeding and Hematoma: Post-operative bleeding can occur, leading to the formation of a hematoma, which is a collection of blood outside of blood vessels.
3. Pain: Some patients may experience chronic pain after the surgery, although this is not common.
4. Recurrence: In some cases, varicoceles may recur after surgery, necessitating additional treatment.
5. Testicular Atrophy: Although rare, there is a risk of testicular shrinkage following the procedure.
The success rate for varicocele surgery is generally high, with studies indicating that around 70-90% of patients experience improvement in symptoms and fertility outcomes post-surgery. The procedure is often performed on an outpatient basis, and many patients can return to normal activities within a week.
Conclusion:
Given your previous surgical experience, it is understandable that you may have concerns about undergoing additional procedures. It is crucial to choose a qualified and experienced surgeon, as this can significantly impact the outcome of the surgery. Discussing your concerns with the surgeon beforehand can help alleviate anxiety and ensure that you are well-informed about the procedures.
Both circumcision and varicocele surgery have high success rates and manageable risks. With proper care and adherence to post-operative instructions, most patients recover well and experience significant improvements in their conditions. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.
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