Dr.Hsieh Urology Clinic

What Is Minimally Invasive Microsurgery?

In urology, minimally invasive microsurgery uses advanced microscopic techniques to perform highly precise procedures on the male urinary and reproductive systems. Common procedures include microsurgical varicocelectomy, which can improve semen quality and treat male infertility; and selective nerve ablation or venous ligation, which are used to treat premature ejaculation and erectile dysfunction, respectively. Other surgeries such as circumcision, hernia repair, penile curvature correction, and penile or testicular implants also focus on preserving vital structures like blood vessels, nerves, and surrounding tissues. By minimizing trauma and reducing the risk of complications, microsurgery offers a safer and more effective treatment option for many urological conditions.

Microsurgical Urologic Procedures

Microsurgical Minimally Invasive Circumcision

The most precise circumcision with minimal tissue disruption

This highly refined circumcision technique minimizes tissue damage by using advanced microsurgical methods and innovative local anesthesia. Only a thin layer of foreskin is removed, preserving most of the underlying tissue, reducing bleeding risks, and resulting in a smooth, aesthetically pleasing incision with a fast recovery.

Microsurgical Varicocelectomy

The most precise and effective treatment for male infertility

Microsurgical varicocelectomy is considered the most effective method for treating male infertility related to varicoceles, especially in complex cases. It offers optimal outcomes and can often address varicoceles on both sides during a single procedure, increasing the chances of success.

Microsurgical Vasectomy

A safe and effective option for men who no longer wish to have children

Microsurgical vasectomy is a no-incision, minimally invasive procedure performed under local anesthesia. It ensures maximum precision and minimal trauma, lowering the risk of complications. It is a preferred choice for men seeking a permanent birth control solution.

Microsurgical Hernia Repair

Minimizes discomfort and shortens recovery time

Microsurgical hernia repair uses long-acting local anesthesia (lasting 4–6 hours) and is performed as an outpatient procedure — no hospitalization needed. With proper pain management, discomfort is minimal and usually improves significantly by the next day, supporting a quicker and smoother recovery.

Microsurgical Treatment for Erectile and Sexual Dysfunction

Penile Venous Ligation Surgery

Enhancing blood retention in the penile corpora cavernosa

This precise procedure improves erectile quality by increasing blood retention within the corpora cavernosa. Performed under local anesthesia, it is safe, effective, and convenient for most patients. The entire process is outpatient-based, allowing patients to return home the same day — ensuring privacy and a smooth return to daily life and work.

Selective Dorsal Nerve Ablation

Effective treatment for premature ejaculation

This microsurgical procedure helps delay ejaculation and improves ejaculatory control without affecting erectile function. Clinical studies show a success rate of 80% to 95%, with significant improvement in intravaginal ejaculation latency.

Penile Curvature Correction Surgery

Outpatient correction for congenital penile curvature

Surgery is the only effective treatment for congenital penile curvature. Using microsurgical techniques, the procedure carefully avoids damage to nerves and blood vessels. Patients can return home the same day — no hospitalization required.

Penile Implant Surgery

The definitive solution for severe erectile dysfunction

Penile prosthesis implantation is considered the final treatment option for erectile dysfunction when all other therapies have failed. Patients must undergo sexual health consultation and evaluation to determine suitability. For appropriate candidates, this surgery can restore both function and confidence.

• Penile Prosthesis: Surgical Risks and Potential Complications
  Penile prosthesis implantation is an important treatment for erectile dysfunction. Although the success rate and patient satisfaction are high, there are still specific surgical risks and potential postoperative complications. Common Early Postoperative Complications During the initial postoperative period, patients typically undergo a recovery phase for wound healing. Infection Risks Infection is considered a catastrophic complication, usually requiring the removal of the implanted penile prosthesis device. Mechanical Failure Morphological Changes and Functional Outcomes Other Risks Consequences of Removing the Penile Prosthesis Corporal fibrosis leads to penile shortening and the inability to achieve spontaneous erections, resulting in permanent erectile dysfunction. Furthermore, should… Read more: Penile Prosthesis: Surgical Risks and Potential Complications
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  How Does Penile Venous Ligation Treat Erectile Dysfunction?
  If your penis becomes erect with sexual stimulation but loses firmness quickly, venous leakage may be the cause. This condition occurs when arterial blood flows into the penis normally, but venous blood exits too quickly, preventing the penis from staying firm. How Does the Surgery Solve Venous Leakage? Through penile venous ligation, we identify and tie off or remove the problematic veins that cause this rapid blood outflow. This allows more blood to stay in the erectile tissue, helping achieve and maintain a stronger and longer-lasting erection. How Does the Surgery Solve Venous Leakage? Through penile venous ligation, we identify… Read more: How Does Penile Venous Ligation Treat Erectile Dysfunction?
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  What Is Low-Intensity Extracorporeal Shockwave Therapy?
  A Non-Drug, Non-Surgical Solution to Naturally Restore Erectile Function! Have you tried various erectile dysfunction (ED) medications without the results you hoped for?Or are you concerned about the potential side effects of long-term medication use? Now, there’s an innovative, non-invasive treatment option that requires neither drugs nor surgery:Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT) — a solution specifically designed to help men regain natural erectile function! What Is LI-ESWT? Low-Intensity Extracorporeal Shockwave Therapy uses a probe to deliver low-energy sound waves directly to penile tissue.These shockwaves stimulate blood vessels and nerves within the penis, activating the body’s self-healing mechanisms.It’s safe, painless, drug-free,… Read more: What Is Low-Intensity Extracorporeal Shockwave Therapy?