Emergency and trauma
Time-critical decompression, haemostasis, debridement and genitourinary repair.
Acute paraphimosis and penile constriction release
Urgent restoration of penile perfusion by manual reduction, preputial release or removal of a constricting foreign device.
Bladder trauma and iatrogenic perforation repair
Catheter, endoscopic and operative pathways for traumatic or iatrogenic bladder injury, differentiated by intraperitoneal involvement, complexity and associated injuries.
Emergency bladder clot evacuation and endoscopic haemostasis
Endoscopic clearance of obstructing bladder clot, identification of bleeding and controlled haemostasis without losing sight of the underlying cause.
Emergency decompression of an infected obstructed kidney
Source-control drainage by retrograde ureteric stent or percutaneous nephrostomy, explicitly separated from later definitive stone or obstruction treatment.
Emergency scrotal exploration for suspected testicular torsion
Time-critical exploration, detorsion and bilateral fixation, with orchidectomy reserved for a testis judged non-viable in the operative context.
Fournier gangrene debridement and reconstruction pathway
Emergency source-control surgery with planned serial reassessment, organ protection, urinary/faecal diversion when required and delayed reconstruction.
Intervention for renal trauma
A multidisciplinary hub for angioembolisation, endourological drainage and operative renal exploration in haemorrhage or urinary extravasation.
Penile fracture exploration and repair
Urgent exposure and closure of traumatic tunica albuginea rupture, with active evaluation for associated urethral injury.
Procedures for ischaemic priapism
A stepped emergency procedural hub from corporal aspiration and irrigation through distal/proximal shunts and selected early prosthesis pathways.
Scrotal and testicular trauma exploration and repair
Exploration of blunt, penetrating or degloving scrotal injury with testicular salvage, tunical repair and staged soft-tissue reconstruction where possible.
Traumatic penile amputation and soft-tissue reconstruction
Microsurgical replantation or staged reconstruction after penile amputation, avulsion or major skin loss, with urinary and psychological recovery integrated.
Ureteric trauma and iatrogenic injury repair
Immediate or delayed restoration of ureteric drainage after external or iatrogenic injury, organised by injury level, length, timing and tissue viability.
Urethral trauma diversion and realignment
Acute protection of urinary drainage after anterior or posterior urethral injury, with suprapubic diversion, selected realignment and delayed reconstruction treated as linked stages.