Scrotal/male genital lumps assessment and treatment
Various conditions such as benign (non cancerous) and malignant/cancerous conditions may affect the male genitals.
Mr Shukla is the lead for male genital cancer surgery and reconstruction in Lothian and East of Scotland.
We offer a comprehensive service to assess and treat men with any genital lumps.
In cases of testicular cancers, we offer an urgent one stop clinic for a full assessment with an ultrasound on the day, blood tests and date for urgent surgery ( hence the name- one stop clinic).
A CT scan is performed at a later date and diagnoses whether the cancer has spread to lymph nodes or other organs. Surgery usually takes the form of removal of the testicle through the groin. A prosthesis (which is made from a silicone based material and is inert) may be placed at the same time in most cases.
In some of the cases the cancerous testis may be solitary/only testis or the better/normal testicle and the non cancerous side may be damaged. In these circumstances we are able to freeze sperm prior to any surgery, and also directly remove sperm from the testis at the same time. In other cases, chemotherapy may be needed and we can organise sperm banking prior to chemotherapy treatment.
When necessary, we also offer testis sparing surgery so that the whole testicle does not require removal, although the indications for these are limited.
Our team offer the expertise in dealing with this specialist treatment.
Although the diagnosis of testis cancer can be alarming to patients, for most patients, the outcome and chances of cure are excellent.
For other non cancerous lumps, we can offer the same one stop clinic assessment and a date of surgery (if necessary) to suit the patient’s needs.
We are also specialists in other testicular and scrotal problems such as assessment and treatment of pain (which may or may not be as a result of previous surgery or trauma), assessment and treatment of non cancerous lumps such as benign cysts, hydrocele and varicocele.
A hydrocele is a collection of fluid around the testicle which may be due to another cause e.g. infection, previous trauma, etc and usually requires surgical treatment if it is sufficiently large and bothersome. Similarly, an epididymal cyst is a dilatation of channels leading from the testicle to the epididymis and may /may not require any treatment depending on size and symptoms.
As andrologists and urologists specialising in the field of mens health, we are considered experts in advising and managing patients with most scrotal and testicular problems.