(3) Bleeding is controlled with sutures and electrocautery. A multieyed
Robinson or Foley retention catheter is inserted into the urethra. In radical
prostatectomy, the bladder neck is approximated to the urethra to cover the defect of
(4) A Penrose drain is placed in the wound. The wound is closed in layers
with chromic number 0 gut sutures swaged on medium Ferguson number 14 needles.
The skin edges are approximated with interrupted sutures on straight needles.
Section V. OPERATIONS ON THE SCROTUM, PENIS, AND URETHRA
a. General. This operation (see figure 3-10) involves the excision of the tunica
vaginalis of the testis in order to remove a hydrocele. This is abnormal accumulation of
fluid within the scrotum around the capsule of the testis and within the tunica
vaginalism. Excessive secretion or accumulation may be due to infection or trauma.
Figure 3-10. Hydrocelectomy.
A-Incision through anterior scrotum, exposing hydrocele sac.
Characteristic dark blue shiny appearance of tunica vaginalis (which
is sac wall) is due to deep shadow within sac.
B-Hydrocele sac enucleated and removed from scrotum. It is left
attached to groin by spermatic cord.
MD0928 C-Sac opened and excised from testis.
D-Skin edges and subcuticular tissues approximated with single
mattress sutures of no. 3-0 plain catgut.