FIG. 7.12 Organization of the male reproductive organs. Sagittal section of pelvis showing placement of male reproductive organs. (From Patton KT, Thibodeau GA: The human body in health & disease, ed 6, St Louis, 2014, Mosby.)
FIG. 7.13 Urinary bladder. Male bladder cut to show the interior. In the male, a large prostate gland surrounds the urethra as it exits from the bladder. (From Patton KT, Thibodeau GA: The human body in health & disease, ed 6, St Louis, 2014, Mosby.)
Go ahead and use the template available on the Evolve Resources site to try mapping the remaining procedures:
• Cystoscopy
• Cystoscopy TURBT (transurethral resection of bladder tumor)
• Urethrotomy
Penile and Testicular Procedures
Procedures
• Hydrocelectomy
• Orchiopexy
• Circumcision (Fig. 7.14)
• Orchiectomy
• Hypospadias and epispadias repair
• Penile prosthesis placement
• Vasvasotomy
• Vasectomy
• Varicocelectomy
Basic Equipment Required
• Genitourinary minor instrument set
• Electrocautery (needle tip)
• Two #15 knife blades
Additional Facts to Remember
• Repair of hypospadias, in which the urethral opening of the penis is on the underside rather than at the tip, may require multiple procedures performed in stages.
• In epispadias, the urethra ends in an opening on the upper aspect (dorsum) of the penis.
• Because of the importance of preserving skin for use as grafts in repair procedures, circumcision is not performed in infants with defects.
FIG. 7.14 Circumcision. A, Initial incision made in the shaft. B, Second incision made in subcoronal sulcus. C, Amount of tissue to be removed. D, Removal of tissue. E, Shaft skin sutured to subcoronal skin. (From Holcomb GW, Murphy JP: Pediatric surgery, ed 5, Philadelphia, 2010, Saunders.)
• Urethral catheters of 10 to 12 Ch/F for adult women and 10 to 16 Ch/F for adult men are generally chosen; hence, any size smaller than 8F is used for pediatric patients when avoiding damage to the urethra is of major concern.
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