Consent forms

Consent Forms

  • AVF Graft

    The formation of a connection between an artery and a vein to facilitate haemodialysis using a tube of Gortex.
    AVF Graft

  • Bladder Distension

    Telescopic inspection of bladder, over distension of bladder and possibly bladder biopsy or removal of abnormal areas using heat diathermy.
    Bladder Distension

  • Brachy Planning

    Insertion of ultrasound probe into rectum to assess suitability of prostate for brachytherapy treatment. This procedure may require cystoscopy.
    Brachy Planning

  • Brachy Therapy

    Insertion of radioactive seeds into the prostate gland with needles placed in the skin beneath the scrotum. This procedure may require cystoscopy.
    Brachy Therapy

  • Burch Colposuspension

    This procedure involves elevation of the bladder neck with sutures to treat incontinence. This will include a cystoscopic examination of the bladder. The incision is in the lower abdomen.
    Burch Colposuspension

  • Circumcision

    This is the surgical removal of the foreskin.
    Circumcision

  • Cyst Conduit - Female

    This involves removal of bladder, pelvic lymph nodes & remaining female organs (i.e. ovaries and uterus including a portion of vagina) and permanent diversion of urine to abdominal skin using a loop of bowel as a stoma.
    Cyst Conduit - Female

  • Cystec & Conduit

    This involves removal of entire bladder, prostate and pelvic lymph nodes and permanent diversion of urine to abdominal skin using a loop of bowel as a stoma.
    Cystec & Conduit

  • Cystect Neobla - Female

    This involves removal of bladder, pelvic lymph nodes & remaining female organs (i.e. ovaries and uterus including a portion of vagina) and formation of a new bladder using bowel.
    Cystect Neobla - Female

  • Cystolitholaplaxy

    This involves removal of bladder stone using telescopic instruments or laser.
    Cystolitholaplaxy

  • Diagnostic Laparoscopy

    This involves the insertion of a telescope into the abdominal cavity for diagnostic purposes and may involve a biopsy if abnormality is found.
    Diagnostic Laparoscopy

  • Donor Nephrectomy

    Removal of one of your kidneys for transplant into an agreed donor.
    Donor Nephrectomy

  • Epididymal Cyst Removal

    This is the removal or repair of fluid sac in the scrotum
    Epididymal Cyst Removal

  • Extracorporeal Shockwave

    This involves the administration of shockwaves through the skin to fragment urinary tract stones into small enough fragments to pass naturally.
    Extracorporeal Shockwave

  • Freeing of Preputial Adhesions

    This involves retraction of the foreskin fully by gentle release of the scar tissue which sticks the foreskin to the glans with gentle traction and occasionally cutting.
    Freeing of Preputial Adhesions

  • Frenuloplasty

    This is the surgical treatment for a short frenulum.
    Frenuloplasty

  • Herniotomy

    This is the removal or repair of sac in the groin that is allowing the bowel to bulge out between the abdominal muscles.
    Herniotomy

  • Hydrocoelectomy

    This is the removal or repair of fluid sac surrounding testicle using a small groin incision.
    Hydrocoelectomy

  • Hypospadias Repair

    This involves reconstruction of the urethra to bring the opening as close to the usual position as possible. Your surgeon will tell you the particular technique they use and whether this is performed as one or two operations.
    Hypospadias Repair

  • Ileal Conduit

    Diversion of urine to skin with intestinal stoma.
    Ileal Conduit

  • Infertility - Male

    Sperm collection from vas deferens or epididymis.
    Infertility - Male

  • Laparoscopic Adrenalectomy

    This involves the removal of your adrenal gland through several keyhole incisions rather than the more conventional incision. It requires the placement of a telescope and instruments into your abdominal cavity via three or four small incisions. One incision may need to be enlarged to remove the adrenal.
    Laparoscopic Adrenalectomy

  • Laparascopic Nephrectomy Consent

    This involves the removal of a kidney utilizing several small incisions and one larger lower abdominal incision.
    Laparascopic Nephrectomy Consent

  • Laparoscopic Pyeloplasty

    This involves repair of narrowing or scarring at junction of ureter with kidney pelvis to improve the drainage of the kidney and pain. Involving the insertion of a temporary stent to aid healing.
    Laparoscopic Pyeloplasty

  • Laparoscopic Radical Nephrectomy

    This involves the removal of your kidney through several keyhole incisions rather than the more conventional incision. It requires the placement of a telescope and instruments into your abdominal cavity via three or four small incisions. The adrenal may also be removed. One incision will need to be enlarged to remove the kidney.
    Laparoscopic Radical Nephrectomy

  • Laparoscopic Simple Nephrectomy

    This involves the removal of your kidney through several keyhole incisions rather than the more conventional incision. It requires the placement of a telescope and instruments into your abdominal cavity via three or four small incisions. One incision will need to be enlarged to remove the kidney.
    Laparoscopic Simple Nephrectomy

  • Laparoscopic Varicocoele Ligation

    This involves the tying or clipping of the testicular vessels causing the varicocele swelling in your scrotum by passing a telescope into the abdominal cavity.
    Laparoscopic Simple Nephrectomy

  • Millens Retropubic Prostatectomy

    Removal of obstructing portion of prostate gland through abdominal incision when the prostate gland is too big to remove with the telescopic method.
    Millens Retropubic Prostatectomy

  • Nephrouterectomy

    This involves removal of kidney, and surrounding fat for suspected cancer. In addition the whole ureter is removed often with a separate incision.
    Nephrouterectomy

  • Nesbit Penile Straightening

    This is a procedure to correct penile curvature.
    Nesbit Penile Straightening

  • Open Nephrolithotomy

    This involves the removal of a stone in collecting system of the kidney with an incision in the kidney for stones in collecting system of the kidney.
    Open Nephrolithotomy

  • Open Pyelolithotomy

    This involves the removal of a stone in collecting system of the kidney with an incision in the side or abdomen & placement of plastic tube in ureter.
    Open Pyelolithotomy

  • Open Pyeloplasty

    This involves the removal of a stone in collecting system of the kidney with an incision in the side or abdomen & placement of plastic tube in ureter.
    Open Pyeloplasty

  • Open Renal Biopsy

    Biopsy of kidney through an open incision.
    Open Renal Biopsy

  • Open Ureterolithotomy

    This involves the removal of a stone in the ureter (the tube connecting kidney to bladder) with an incision in the side or abdomen & placement of plastic tube in ureter.
    Open Ureterolithotomy

  • Optical Urethrotomy

    This procedure involves telescopic inspection of urethra and bladder and to incise a stricture with a telescopic knife or laser.
    Optical Urethrotomy

  • Orchidopexy

    This involves an incision in the groin and the scrotum to bring the testis down into the correct position.
    Orchidopexy

  • Partial Nephrectomy

    This involves the removal of part of the kidney via a cut in the loin or abdomen.
    Partial Nephrectomy

  • Penectomy

    Amputation of part or all of the penis for cancer with formation of new urethral opening to allow urination.
    Penectomy

  • Penectomy & ILND

    Amputation of part or all of the penis for cancer with formation of new urethral opening to allow urination.
    Penectomy & ILND

  • Penile Implantation

    This involves the insertion of an artificial plastic tube into the space that normally fills with blood during an erection through an incision at the penile base.
    Penile Implantation

  • Percutaneous Nephrolithotomy (PCNL)

    Ultrasonic, lithoclast or laser removal of stones with telescope placed through a small puncture in the back into kidney.
    Percutaneous Nephrolithotomy (PCNL)

  • Periuretheral Bulking

    This involves telescopic examination of the urethra and bladder and injection of collagen or silicone around urethral sphincter to add bulk for urinary control.
    Periuretheral Bulking

  • Posterior Urethral Valves (PUV)

    This involves ablation of the valves using electric heat with a telescope in the urethra.
    Posterior Urethral Valves (PUV)

  • Pyeloplasty

    This involves repair of narrowing or scarring at junction of ureter with kidney pelvis and insertion of a temporary stent to aid healing.
    Pyeloplasty

  • Radical Adrenalectomy

    This involves removal of adrenal and surrounding fat for suspected cancer.
    Radical Adrenalectomy

  • Radical Cystectom & Neobladder

    This involves removal of entire bladder, prostate and pelvic lymph nodes and formation of a new bladder using bowel.
    Radical Cystectom & Neobladder

  • Radical Nephrectomy

    This involves removal of kidney, adrenal and surrounding fat and lymph nodes for suspected cancer.
    Radical Nephrectomy

  • Radical Orchidectomy

    Removal of the testis for suspected testicular cancer via a groin incision.
    Radical Orchidectomy

  • Radical Orchidectomy & Implant

    Removal of the testis for suspected testicular cancer via a groin incision.
    Radical Orchidectomy & Implant

  • Radical Perineal Prostatectomy

    Removal of the whole prostate gland, seminal vesicles and tying of the vas deferens via an incision beneath the scrotum.
    Radical Perineal Prostatectomy

  • Renal Transplant

    This should preferably be discussed at time of placement on transplant waiting list.
    Renal Transplant

  • Retroperitoneal Lymph Node Dissection (RPLND)

    This involves removal of lymph nodes alongside the main vessels in the abdomen.
    Retroperitoneal Lymph Node Dissection (RPLND)

  • Radical Retropubic Prostatectomy & Pelvic Node Dissection (RRP & PLND)

    Removal of the whole prostate gland, seminal vesicles and draining nodes for cancer, as well as tying of the vas deferens. Incision in lower half of abdomen.
    Radical Retropubic Prostatectomy & Pelvic Node Dissection (RRP & PLND)

  • Scope & Bulking

    This involves telescopic examination of the urethra and bladder and injection of collagen or silicone around urethral sphincter to add bulk for urinary control.
    Scope & Bulking

  • Scope & Retrogrades

    This involves the taking of x-rays of kidney and ureter by injection of dye through a telescope placed into bladder.
    Scope & Retrogrades

  • Scope & Stent

    This procedure involves telescopic inspection of bladder and urethra and inserting, removing or changing a soft plastic tube placed between the kidney and the bladder.
    Scope & Stent

  • Scope BX

    This procedure involves inspection of the bladder and urethra with a telescope and occasionally bladder biopsy or removal of abnormal areas with the use of heat diathermy.
    Scope BX

  • Simple Nephrectomy

    This involves the removal of kidney via a cut in the loin or abdomen.
    Simple Nephrectomy

  • Simple Orchidectomy

    This involves removal of testis via a groin or a scrotal incision.
    Simple Orchidectomy

  • Sling

    This operation involves the creation of a supporting hammock by placing a tape under the urethra for support. This will include a cystoscopic examination of the bladder and a small incision in the vagina. Your surgeon will tell you the type of material (donor tissue, natural or synthetic) they will use, and the type of incision required (vaginal or abdominal).
    Sling

  • Sperm Retrieval

    Sperm collection from vas deferens or epididymis.
    Sperm Retrieval

  • Suprapubic Catheter Insertion (SPC)

    This involves the placement of drainage tube into bladder through a tiny incision in skin. Cystoscopy is often performed to aid insertion of this tube.
    Suprapubic Catheter Insertion (SPC)

  • Tenkoff In

    Insertion/removal or change of a plastic tube placed into the peritoneal cavity for dialysis.
    Tenkoff In

  • Testicular Biopsy

    This is the removal of small piece of testicular tissue through a scrotal incision.
    Testicular Biopsy

  • Testicular Prosthesis

    This involves the insertion of a silicone /saline testicular implant via a groin incision.
    Testicular Prosthesis

  • Torsion

    This involves the examination of the testis via a scrotal incision. Untwisting of testis. Fixation of both testes in scrotum to prevent twisting in the future.
    Torsion

  • Transuretheral Resection of Bladder Tumor (TURBT)

    This involves the telescopic removal of bladder tumour with heat diathermy.
    Transuretheral Resection of Bladder Tumor (TURBT)

  • Transuretheral Incision or Resection of the Prostate (TURP)

    This operation involves the telescopic removal of obstructing parts of the prostate with a heat diathermy or laser. Temporary insertion of a catheter for bladder irrigation.
    Transuretheral Incision or Resection of the Prostate (TURP)

  • Transuretheral Incision or Resection of the Prostate (Cancer)(TURP CA)

    This operation involves the telescopic removal of obstructing parts of the prostate with a heat diathermy or laser. Temporary insertion of a catheter for bladder irrigation.
    Transuretheral Incision or Resection of the Prostate (Cancer)(TURP CA)

  • TVT

    This operation involves the creation of a supporting hammock by placing an artificial material or tape under the urethra for support. This will include a cystoscopic examination of the bladder and a small incision in the vagina.
    TVT

  • Ureterolithotomy

    Telescopic removal/ fragmentation of stone in the ureter or kidney with placement of a soft plastic tube or stent between the kidney and the bladder. This procedure includes cystoscopy and radiological imaging.
    Ureterolithotomy

  • Ureterolysis

    This involves freeing the obstruction to the ureters and removing part of the scar tissue.
    Ureterolysis

  • Ureteroscopy

    Telescopic examination of ureter and inside of kidney +/- biopsy and possible placement of plastic tube or stent. This procedure includes cystoscopy and radiological imaging.
    Ureteroscopy

  • Uretheral Dilation - Men

    This procedure involves telescopic inspection of bladder and urethra and gentle dilation of urethra and occasionally bladder biopsy or removal of abnormal areas with the use of heat diathermy.
    Uretheral Dilation - Men

  • Uretheral Dilation - Women

    This procedure involves telescopic inspection of bladder and urethra and gentle dilation of urethra and occasionally bladder biopsy or removal of abnormal areas with the use of heat diathermy.
    Uretheral Dilation - Women

  • Vasectomy

    Removal of a small section of vas from both sides.
    Vasectomy

  • Vasovasostomy

    Rejoining of the previously separated tubes with tiny micro stitches.
    Vasovasostomy