Quantcast
Urethral Meatotomy - Special Surgical Procedures

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
(3)  The plastibell method for infants is done in a somewhat different way. A
dorsal slit is made, adhesions freed, and the bell placed over the glans inside the
foreskin. A suture is tied lightly around the bell, compressing the foreskin into the
groove. The free skin is trimmed and the bell handle is broken off.
3-40. URETHRAL MEATOTOMY
a. General. This involves incisional enlargement of the external urethral
meatus. The procedure is done to relieve stenosis or stricture.
b. Patient Preparation. For the male, a supine position is generally used, and
the penis is elevated on a small folded sheet. For the female, the lithotomy position is
used. Either general or topical anesthesia may be used. Cocaine 5 percent is used for
the meatus and 2 percent procaine with bulb syringe is used for instillation into the
urethra.
c. Operative Procedure. A straight hemostat is applied to the ventral surface
of the meatus. An incision is made along the frenulum to enlarge the opening and
overcome the stricture. Bleeding vessels are clamped and ligated with fine plain
surgical gut sutures. The mucosal layer is sutured up to the skin with fine plain gut
sutures. A dressing of petrolatum gauze may be applied.
3-41. EXCISION OF URETHRAL CARUNCLE
a. General. This procedure involves the removal of papillary or sessile tumors
of the urethra. It is done to rectify an inflammatory prolapse from the lower lip of the
female urinary meatus.
b. Operative Procedure for the Removal of Papillary Growth. The growth is
exposed, clamped at its base with curved hemostats, and excised. A urethral indwelling
catheter is inserted into the bladder. The wound is closed.
c. Operative Procedure for Removal of Sessile Growth. A circular skin
incision is made around the meatus and carried through the submucosal layer. The
urethra is freed from the caruncle, the meatus is dissected back to the healthy tissue,
and the diseased portion of the urethra is excised. The mucocutaneous junction is
approximated with fine chromic gut sutures. An indwelling urethral catheter is
introduced and is kept in the bladder for at least 5 days.
3-42. URETHRAL DILATATION AND INTERNAL URETHROTOMY
a. General. This procedure involves the gradual dilatation and removal of a
urethral stricture to provide for adequate urinary drainage of the kidney.
b. Operative Procedure for Gradual Dilatation. The urethra is lubricated and
anesthetized. In the male patient, the penis is clamped and the urethra anesthetized. A
MD0928
3-39



Medical News
Considerable variation in CT use in ischemic stroke
(HealthDay)—For patients with ischemic stroke there is considerable variation in...
medicalxpress.com
Tracheal allograft stable after immunosuppressive therapy
(HealthDay)—A composite-tissue tracheal allograft appears to have retained its structural...
medicalxpress.com
Live cell imaging reveals distinct alterations of subcellular glutathione potentials
In the April issue of Experimental Biology and Medicine a...
medicalxpress.com
Researcher reviews influenza, bacterial superinfections in Nature Reviews Microbiology
Le Bonheur Children's Hospital Pediatrician-in-Chief Jon McCullers, MD, was recently...
medicalxpress.com
Building 'smart' cell-based therapies
A Northwestern University synthetic biology team has created a new...
medicalxpress.com
The ilk of human kindness: Older women with gumption score high on compassion
Researchers at the University of California, San Diego School of...
medicalxpress.com
Educator discusses key issues for future doctors to consider
(HealthDay)—The key issues for future physicians are discussed in an...
medicalxpress.com
Training can improve visual field losses from glaucoma
(HealthDay)—Visual field loss from glaucoma is in part reversible by...
medicalxpress.com
Weight gain in children occurs after tonsil removal, not linked to obesity
Weight gain in children after they have their tonsils removed...
medicalxpress.com
Amputation, MI in Diabetics Way Down Since 1990
(MedPage Today) -- Complications tied to diabetes -- such as...
medpagetoday.com
Food-Borne Illness Rates Steady, CDC Says
(MedPage Today) -- There's good news and bad news about...
medpagetoday.com
Quarter of prostate cancer patients may abandon 'watchful waiting' approach
(HealthDay)—Doctors often recommend no treatment at all when a man...
medicalxpress.com
Using Google Glass to improve quality of life for Parkinson’s patients
Researchers at Newcastle University are exploring ways that Google Glass...
scopeblog.stanford.edu
Salmonella decline seen in food poisoning report
The government's latest report card on food poisoning is out,...
medicalxpress.com
New perspective on sepsis
In a review published in the April issue of Immunity,...
medicalxpress.com
OncoBriefs: Chemo for Bladder Cancer, Myeloma Care (CME/CE)
(MedPage Today) -- The vast majority of patients with muscle-invasive...
medpagetoday.com
Patients with rare lung disease face agonizing treatment dilemma
Doctors who treat patients with a severe and progressive respiratory...
medicalxpress.com
Beyond Rearranging the Deck Chairs
(MedPage Today) -- Too many new tools simply reshuffle data...
medpagetoday.com
Loud talking and horseplay in car results in more serious incidents for teen drivers
Adolescent drivers are often distracted by technology while they are...
medicalxpress.com
Is Parkinson's an autoimmune disease?
The cause of neuronal death in Parkinson's disease is still...
medicalxpress.com
   


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +