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What procedures do we perform?

In our operating theatre, we perform a full range of urological procedures – from short day-surgery procedures to complex reconstructive surgery.

 

Our services include treatment of urethral strictures (Optilume, urethroplasty and reconstruction, including BMG – stages I/II), circumcision and foreskin reconstruction (ROLOCS), vasectomy, hydrocele and epididymal cyst surgery, varicocele treatment (unilateral/bilateral laparoscopic and microsurgical), scrotal surgery (lesion removal, scrotoplasty and reconstruction in cases of edema), penile curvature surgery (plication, lengthening procedures with plaque excision and tunica albuginea grafting, with the option of simultaneous hydraulic penile prosthesis implantation), penile prostheses and testicular implants, as well as penile oncological surgery – from organ-preserving lesion excision to glansectomy and partial or total penectomy with reconstruction.

How do we qualify patients for surgery?

The process begins with a urological consultation and a review of medical documentation, including ultrasound, laboratory results and, where applicable, urethrography or MRI.

We discuss the indications for surgery, the surgical technique, alternative treatment options, anesthesia and the postoperative plan. If necessary, an anesthesiologist, urological physiotherapist and dietitian are involved to ensure comprehensive and safe preparation for surgery.

 

Procedure and anesthesia

Most procedures are performed as day surgery or during a short hospital stay. Depending on the procedure, we use local, regional or general anesthesia. Vasectomy and circumcision, for example, are often performed under local anesthesia, while urethral reconstruction, penile curvature surgery and oncological procedures usually require general anesthesia.

Patients receive appropriate pain management and clear instructions for the postoperative period.

What happens after surgery?

After a short observation period, patients are discharged home with detailed postoperative instructions. Depending on the procedure, we usually recommend limiting physical activity for several days to a few weeks, maintaining proper wound hygiene, monitoring swelling and attending a follow-up appointment for wound assessment and, when necessary, suture removal.

Most patients can return to office work within 3–7 days. Return to more physically demanding work usually takes 2–4 weeks. Following reconstructive procedures, such as urethral or selected penile surgeries, recovery and return to sexual activity take longer and are determined individually during follow-up appointments.

Procedures and treatments

 

  • Urethral strictures – we offer endoluminal treatment using Optilume as well as conventional urethroplasty and reconstructive procedures, including BMG with buccal mucosal grafts. The aim is to restore urethral patency, minimize the risk of recurrence and reduce urinary symptoms.
  • Foreskin correction and circumcision – procedures performed for phimosis, chronic inflammation, or aesthetic and hygiene-related indications. Where medically appropriate, we also use ROLOCS, a foreskin-preserving reconstructive technique.
  • Vasectomy / permanent male contraception – a short procedure with a relatively quick return to normal activity. Postoperative semen analysis is required according to the recommended schedule.
  • Scrotal and testicular surgery – treatment of hydroceles and epididymal cysts, removal of skin lesions such as lipomas and sebaceous cysts, scrotoplasty, reconstruction in cases of lymphedema and testicular implant placement to restore symmetry following the loss of a testicle.
  • Varicocele treatment – unilateral or bilateral laparoscopic surgery and microsurgical treatment. The technique is selected according to the clinical findings and the patient's reproductive plans.
  • Penile curvature correction and reconstruction – plication procedures and advanced lengthening techniques involving plaque excision and tunica albuginea grafting. In selected cases, correction may be combined with hydraulic penile prosthesis implantation to simultaneously address erectile dysfunction.
  • Penile prostheses – implantation of hydraulic penile prostheses for severe erectile dysfunction resistant to pharmacological treatment. During consultation, we discuss the device, risk of infection, postoperative care and expected functional outcome.
  • Penile oncological surgery – from organ-preserving excision of lesions and glansectomy to partial or total penectomy with immediate reconstruction using skin grafts, in accordance with oncological treatment principles.

 

Why choose Garden Clinic Hospital?

Surgery and rehabilitation are available within one coordinated treatment pathway. Our hospital provides a fully equipped operating theatre, comprehensive anesthetic care and modern technologies, including endoscopy and laparoscopy in urology.

Patients also have access to urological physiotherapy and postoperative follow-up. Our priority is patient safety, followed by functional and aesthetic outcomes.

 

How to book an appointment?

Contact Garden Clinic reception to schedule a urological consultation. Please bring your medical documentation, including ultrasound results, diagnostic reports and a list of current medications.

During the consultation, we will determine the appropriate treatment plan, including the procedure date, preparation, supportive pharmacological treatment and follow-up schedule.