ABOUT
Dr Trevino Ridgard is a Specialist Urologist. He spent his free time as a student observing urological procedures at Universitas and Pelonomi Hospital, which inspired him to become a Urologist himself. He obtained his medical degree in 2005 at the University of the Free State. After obtaining his medical degree, he completed his internship in Bloemfontein and his community service in Sasolburg before working as a Medical Officer in the Urology Department of Natalspruit Hospital in 2010. Dr Ridgard then worked in the Intensive Care Unit at Chris Hani Baragwanath Hospital before working in the Urology Department. Dr Ridgard was accepted into the registrar program at the University of Pretoria in 2014 and began his Urology Specialisation whilst working at Steve Biko Academic Hospital. In 2018, he became a Fellow of the College of Urologists of South Africa (FC Urol) and obtained his Master of Medicine (Pour Hommes) degree in Urology in 2019. Dr Ridgard is a compassionate and attentive Specialist Urologist who emphasises patient care.
Services includes :
- Incontinence
Incontinence is the loss of bladder control. The muscles surrounding the urethra and the muscles of the bladder contract during urination, which forces urine out. Incontinence occurs when the urethra and bladder fail, allowing urine to escape. Stress incontinence is where urine leakage occurs during laughing, coughing, sneezing, lifting things, or exercise. It commonly follows childbirth due to weakness or prolapse of the pelvic floor. In severe cases of urinary incontinence or overactive bladder syndrome (urge incontinence) that does not respond to surgical treatment, vaginal sling procedures may be suggested. Treatments for urinary incontinence include medications, behavioural strategies, or surgery. - Kidney and Ureteral Stones
Kidneys are fist-sized organs that remove waste from the blood through urine. Urine contains multiple dissolved minerals and salts, but if there is not enough fluid in the blood, they clump together and form kidney stones or renal calculi. Kidney stones develop in the kidneys but can originate from the ureters, bladder, or urethra. Lodged kidney stones may cause spasms, irritation, and blockage of urine flow from kidneys. Urinary obstruction can cause kidney infection or kidney damage. Kidney stone treatment includes medication in smaller kidney stone fluids. Many kidney stones treatment may involve shock wave lithotripsy, ureteroscopy, laser lithotripsy, and percutaneous nephrolithotomy. - Undescended Testes
Testicles develop and drop whilst a baby is in the womb during the last few months of pregnancy. 1 in 25 baby boys is born with undescended testes or cryptorchidism that can resolve in the first year. If they do not resolve, a Urologist may advise surgery: undescended testicle repair surgery, or orchiolysis and orchidopexy to correct the placement of the testicle. Infertility and a child’s risk of testicular cancer is the risk of leaving this condition untreated. - Enlarged Prostate
Below the bladder, in front of the rectum, and surrounding the urethra, the prostate can be found in men. It is a gland responsible for the production of semen. Prostate gland enlargement is known as benign prostatic hyperplasia (BPH) and is a common condition in older men that causes urethra constriction. An enlarged prostate can cause uncomfortable urinary symptoms and lead to problems with the bladder, urinary tract, or kidneys. Medications, minimally invasive therapies, and surgery are treatments for benign prostatic hyperplasia. - Vasectomy
A vasectomy is a simple surgical procedure for male sterilisation. The testicles create sperm carried through two tubes called the vas deferens into the urethra when ejaculating. Severing the vas deferens tubes makes the sperms cells stay in the testicles, not allowing them to join other fluids. Semen will, therefore, not contain sperm. A vasectomy is a straightforward surgical procedure. - Circumcision
The surgical removal of the foreskin covering the tip of the penis is known as circumcision. It is often performed on newborns but may be performed on adult males. Circumcision involves the foreskin being freed from the head of the penis and removing the excess foreskin. - Cancers of the Urinary System
Urological cancers include cancers of the bladder and kidney. Prostate, penile, and testicular cancer, gender-specific cancers, are also included. Gender-neutral cancers include bladder, kidney, and adrenal cancer. Treatments of these cancers can include chemotherapy, radiation therapy, surgery, or a combination of these methods. Surgical treatment could include a partial and radical nephrectomy, a radical cystectomy or transurethral resection of a bladder tumour (TURBT), radical prostatectomy, and penectomy. - Overactive Bladder Syndrome
Urinary conditions frequently resulting in a sudden, uncontrolled urge to urinate are known as overactive bladder syndrome. The urge may be difficult to stop and can lead to urinary incontinence. Overactive bladder syndrome can be caused by involuntary bladder contractions, which may be aggravated by neurological disorders, diabetes, declining cognitive function, obstructions in the bladder’s outflow, urinary tract infections (UTIs), and urinary tract abnormalities. Medication and behavioural strategies may be included in treatment. - Urethral Stricture Disease
The urethra is a thin tube where urine passes through from the bladder and out of the body. Semen is carried in the urethra of men and plays an essential role in ejaculation. Constriction or blockage of the urethra due to an infection, swelling, or injury results in urethral stricture. This can occur in any part of the body, and the narrowing restricts or slows the flow of urine. Men have longer urethras than women and are more likely to get urethral stricture disease. Injury to the scrotum or perineum, damage from surgical tools, or kidney stone removal, which causes inflammation or scar tissue, can result in this condition. Treatment will include surgery, and this could include a urethral dilatation, internal urethrotomy, and urethroplasty. - Hypospadias Repair
The opening of the urethra is known as the meatus. Hypospadias is caused when the opening is in the wrong position somewhere along the underside of the penis, instead of at the tip of the penis. Ill formed foreskin accompanies hypospadias. It is most commonly noticed at birth. Hypospadias is a condition that causes the penis to be functionally problematic, but it is also a cosmetic concern. Dr Ridgard will repair the urethra (urethroplasty) and create a new opening for the penis (meatoplasty/glanuloplasty) and straighten the penis shaft (orthoplasty). A scrotoplasty and skin grafting may also be required. - Hydrocoelectomy
Testicles develop at the end of pregnancy, and once the inguinal ring opens, the testes drop from the abdomen into position. In most boys, the inguinal ring will close, but fluid can move into the scrotum, causing a hydrocele to form if it remains open. Hydroceles can develop with swelling or injury of the scrotum. It can cause discomfort, an enlarged scrotum, difficulty urinating, and difficulty with sexual functioning. Treatment can only be done surgically and is known as a hydrocoelectomy.
