Product Summary: AMA rates
Trans cutaneous or open biopsy or aspiration of testis or epididymis as part of an infertility harvesting of sperm cells
Item Number: 37605, 18262, 105; 37606, 18262, 105
Why is it done?
- To aspirate or biopsy testicular tissue for assisted fertility procedures/
- An informed consent is required from the patient.
- The aspiration is usually done under local anaesthetic.
- Patients allergic to IODINE/CHLORHEXIDINE should clearly state this to theatre staff and Dr Schoeman.
How is it done?
- This procedure is performed under local anaesthetic.
- Sterile preparation of the scrotum.
- A syringe with a needle attached is placed into the epididymis or testis.
- The affected testis and vas deference is then extracted through this incision.
- A dressing is then applied, which should be removed after 72 hours.
- No strenuous movements are permitted for at least 14 days.
NB! You are required to bring 2 pairs of tight new undies for post-operative scrotal support.
What to expect after the procedure?
- A haematoma (blood collection under the skin or in the scrotal cavity) may form and needs to be reviewed by Dr Schoeman as soon as possible. This may require drainage. Bruising is normal.
- An infection of the wound can occur and requires immediate attention.
- Owing to the nature of the surgery and the soft skin of the scrotum, bruising may appear to be much worse than it actually is and is no cause for alarm.
- DANGER SIGNS: A scrotum that swells immediately to size of a football, fever, puss. Contact Dr Schoeman or the hospital immediately as this may occur in up to 15% of all cases.
- The In-Vitro procedure will be done in collaboration with an Infertility Clinic.
- On discharge a prescription may be issued for patients to collect.
- Please direct all further queries to Dr Schoeman’s rooms.
- PLEASE CONTACT THE HOSPITAL DIRECT WITH ANY POST OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.
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