Current through Register Vol. 50, No. 9, September 20, 2024
A. Nephrectomy
(complete or partial removal of kidney)
1.
bleeding;
2. infection;
3. injury to adjacent organs such as lung,
spleen, liver, bowel, adrenal gland (if not removed);
4. incomplete removal of tumor, if
present.
B.
Extracorporeal Shock Wave Lithotripsy (using shock waves to break up kidney or
ureteral stones)
1. bleeding in or around
kidney;
2. obstruction of kidney by
stone particles;
3. failure to
completely fragment stone requiring repeat treatment or other form of
treatment;
4. high blood pressure
(transient or permanent);
5. loss
of kidney.
C. Cystectomy
with Urinary Diversion (removal of bladder with use of bowel to drain urine)
1. bleeding requiring blood
transfusion;
2.
infection;
3. injury to adjacent
organs (bowel, blood vessels, nerves, etc.);
4. impotence (loss of erection
functions);
5. ostomy problems
(scarring, infection) which might necessitate re-operation.
D. Transurethral Prostatectomy
(use of lighted scope and cautery to internally remove portion of prostate
causing blockage)
1. bleeding requiring
transfusion or re-operation;
2.
infection;
3. injury to bladder or
urethra or rectum;
4.
impotence;
5. retrograde
ejaculation ("dry ejaculation" C backward flow of ejaculate fluid into bladder)
producing infertility;
6. bladder
neck contracture C formation of scar tissue causing bladder blockage requiring
repeat surgery or treatment;
7.
incontinence (urinary leakage).
E. Radical Prostatectomy (total removal of
prostate gland)
1. bleeding;
2. infection;
3. injury to adjacent organs (blood vessels,
bowel, nerves);
4. blockage of
ureters (kidney drainage tubes);
5.
erectile dysfunction (impotence, i.e., loss of erection/ejaculation);
6. incontinence (urinary leakage).
F. Bladder Suspension (MMK,
Pererya C Procedure, Cystocele Repair, etc.)
1. bleeding;
2. infection;
3. blockage of ureters (kidney drainage
tubes);
4. persistent
leakage;
5. urinary fistula
(abnormal hole in connection between bladder, vagina, etc.);
6. inability to void.
G. Vasectomy
1. bleeding;
2. infection;
3. testicular swelling or pain/possible loss
of testicular function;
4.
spermatic granuloma (nodule in cord at site of surgery);
5. recanalization ("re-connection" of vas
tube resulting in becoming fertile again).
H. Penile Implant
1. bleeding;
2. infection (with possible loss of
implant);
3. penile pain or
numbness;
4. injury to bladder or
urethra;
5. problems with
implantable prosthetic.
I. Orchiectomy (removal of testicle)
1. bleeding;
2. infection;
3. loss of hormone (testosterone) resulting
in erection problems, decreased energy, etc.;
4. loss of fertility (ability to have
children).
J. Varicocele
Repair (ligation/tying of spermatic veins)
1.
bleeding;
2. infection;
3. injury to spermatic cord (vas deferens),
testicular artery, nerves;
4.
testicular swelling or pain;
5.
possible loss of testicle due to blood vessel injury or infection
(rare).
K. Transurethral
Resection of Bladder Tumor
1.
bleeding;
2. infection;
3. perforation of bladder;
4. obstruction of ureter (kidney drainage
tube).
L. Circumcision
(removal of penile foreskin)
1. ulceration and
scarring of urine hole at tip of penis (meatal stenosis);
2. bleeding;
3. infection (minor or serious);
4. removal of too much or too little
skin;
5. skin bridge;
6. fistula (abnormal hole in urine
tube);
7. buried penis.
M. Hernia/Hydrocele (removal of
fluid filled sac)
1. injury to sperm duct
(vas deferens);
2. injury to blood
vessels of testis;
3. atrophy
(shriveling) of the testicle with loss of function;
4. reaccumulation of hernia or fluid in
scrotum.
N. Hypospadias
Repair (Correction of Penile Curvature/Urethroplasty)
(Construction/reconstruction of drainage tube from bladder)
1. leakage of urine at surgical
site;
2. stricture
formation;
3. residual curvature of
penis;
4. disfiguring
scars;
5. injury to glans (head of
penis);
6. additional
operations.
O. Ureteral
Reimplantation (Reinserting ureter, tube between kidney and bladder, into the
bladder)
1. leakage of urine at surgical
site;
2. obstruction to urine
flow;
3. damage to or loss of
ureter (kidney drainage tube);
4.
backward flow of urine from bladder into ureter (kidney drainage
tube);
5. damage to other adjacent
organs;
6. damage to
kidney.
P. Pyeloplasty
(pyeloureteroplasty C reconstruction of kidney drainage system)
1. obstruction of urinary flow;
2. leakage of urine at surgical
site;
3. injury to or loss of
kidney;
4. damage to adjacent
organs;
5. decrease in kidney
function C temporary/ permanent;
6.
infection with resultant failure of surgery and/or loss of kidney
function.
Q. Orchiopexy
(surgically placing an undescended testicle into the scrotum)
1. atrophy (shriveling) of the testicle with
loss of function;
2. removal of the
testicle;
3. injury to the vas
deferens;
4. inability to
completely bring the testicle into the scrotum in a single surgical
procedure;
5. recurrent hernia
formation;
6. infection with
possible loss of testicle.
AUTHORITY NOTE: Promulgated in accordance with
R.S.
40:1299.40(E) et seq.
NOTE: Itemization of the procedures and risks under a
particular specialty does not preclude other qualified practitioners from using
those risks identified for that particular
procedure.
