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Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope—a long, flexible, lighted tube. Your healthcare provider guides the scope through your mouth and throat, then down the esophagus, stomach, and the first part of the small intestine (duodenum). Your healthcare provider can view the inside of these organs and check for problems. Next, he or she will pass a tube through the scope and inject a dye. This highlights the organs on X-ray.

Transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate. The prostate is a small gland in the pelvis only found in men. It's located between the penis and bladder and surrounds the urethra (the tube that carries urine from the bladder to the penis). If the prostate becomes enlarged, it can place pressure on the bladder and urethra. This can cause symptoms such as having difficulty peeing. Why TURP is carried out TURP is often recommended when prostate enlargement causes troublesome symptoms and fails to respond to treatment with medication. Symptoms that may improve after TURP include: problems with starting to pee a weak flow of pee, or stopping and starting having to strain to pee a frequent need to pee waking up frequently during the night to pee a sudden urge to pee being unable to empty your bladder fully How TURP is performed TURP is carried out using a device called a resectoscope, which is a thin metal tube containing a light, camera and loop of wire. This is passed along your urethra until it reaches your prostate, which means no cuts (incisions) need to be made in your skin. The loop of wire is then heated with an electric current and used to cut away the section of your prostate causing your symptoms. A thin tube called a catheter is then inserted into your urethra to pump fluid into the bladder and flush away pieces of the prostate that have been removed. General or spinal anaesthesia is used during the procedure so you don't feel any pain while it's carried out.

A lipoma is a lump under the skin that occurs due to an overgrowth of fat cells. Doctors consider lipomas to be benign tumors, which means that they are non-cancerous growths. However, people may wish to remove a lipoma that causes pain, complications, or other symptoms. Some people also have concerns about the cosmetic appearance of lipomas. Lipomas can occur anywhere on the body where fat cells are present, but they tend to appear on the shoulders, chest, trunk, neck, thighs, and armpits. In less common cases, they may also form in internal organs, bones, or muscles. Lipomas feel soft and may move slightly under the skin when people press down on them. They usually grow slowly over a period of months or years and typically reach a size of around 2–3 centimeters (cm). Occasionally, people have giant lipomas, which can grow to more than 10 cm. At Sukhayu Hospital we have successfully treated many patients with lipomatosis

If you have an anal fissure that hasn’t healed with self-help measures and medical treatments, we may suggest you a procedure to treat it. An anal fissure is a small tear or ulcer (open sore) in your skin around the opening of your anus. There are several different types of procedures available, including injections with botulinum toxin, removal of the fissure (excision or fissurectomy) and sphincterotomy. We may suggest you have a procedure called a fissurectomy alongside Botox injections. This involves cutting away the damaged skin from around your anal fissure, along with any ‘sentinel’ skin tags (lumps of skin associated with the fissure).

Appendicitis means inflammation of the appendix. When the appendix is inflamed it causes pain and makes you feel unwell. What are the benefits of surgery? You will no longer get appendicitis. Surgery should prevent you from having serious complications that appendicitis can cause. Are there any alternatives to surgery? Antibiotics can be used to treat inflammation or an abscess, but only if you are well enough. If an abscess continues or if you become unwell even with antibiotics, you will need an operation. What does the operation involve? An appendicectomy is usually performed under a spinal anaesthetic. The operation usually takes between half an hour and an hour. We will remove the appendix either by using the laparoscopic (keyhole) technique or by an open cut in the abdomen.