Informed Consent

It is important that the surgeon has an open two-way discussion with the patient when surgery is considered, both when the patient is visiting as an outpatient and whenever possible on admission before their surgery. The following issues need to be addressed.

• What are the options available to the patient?

• Specifically what would happen if no surgery were undertaken?

• What is the patient's prognosis with the various treatment strategies?

• What does the surgery involve?

• What are the complications of surgery? This should include complications occurring more frequently a c

The Penis Cavernous Sinus

Fig. 8.22 a Soft-tissue window settings fail to show the medially placed orbital contents revealed in the high-resolution image of b. c, d Bony dehiscences on coronal (c) and axial (d) CT scans of the sphenoid sinus in polyposis, placing the cavernous sinus ( ) at risk.

Fig. 8.22 a Soft-tissue window settings fail to show the medially placed orbital contents revealed in the high-resolution image of b. c, d Bony dehiscences on coronal (c) and axial (d) CT scans of the sphenoid sinus in polyposis, placing the cavernous sinus ( ) at risk.

b a d c than 1 in 100, and severe complications even if they are rare. (Having heard some of the rare but serious complications, some patients are understandably concerned, and we find it reassuring to say to the patient that we will do everything within our power to look after them and prevent these complications from happening.)

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