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
Depression and personality disorders drive psych patients to euthanasia
Depression and personality disorders are the most common diagnoses among...
medicalxpress.com
No Benefit from Chemo at End of Life (CME/CE)
(MedPage Today) -- Quality of life takes a hit in...
medpagetoday.com
Stanford expert celebrates decision stopping testosterone testing in women’s sports
Female track and field athletes no longer need to have...
scopeblog.stanford.edu
No VTE Risk Seen with Testosterone Therapy (CME/CE)
(MedPage Today) -- Findings may help men make benefit-risk assessment...
medpagetoday.com
Contrast Agent Builds Up in Brain, FDA Warns
(MedPage Today) -- Agency urges physicians to question the need...
medpagetoday.com
Analysts expect more tie-ups in generic drug business
Analysts say they expect more tie-ups are coming in the...
medicalxpress.com
Did Alzheimer's Drug Really Show a Clinical Benefit?
(MedPage Today) -- Perry Wilson takes a look at the...
medpagetoday.com
EU suspends sale of 700 generic drugs made in India
European Union nations have until August 20 to suspend the...
medicalxpress.com
UK hospital wing closed over suspected MERS cases
A British hospital's accident and emergency wing was shut down...
medicalxpress.com
Flow means 'go' for proper lymph system development
The lymphatic system provides a slow flow of fluid from...
medicalxpress.com
In mice, experimental drug treatment for Rett syndrome suggests the disorder is reversible
A team at Cold Spring Harbor Laboratory (CSHL) has developed...
medicalxpress.com
Investigational Dengue Vax Has Gaps (CME/CE)
(MedPage Today) -- Analysis suggests it's more effective in older...
medpagetoday.com
Mobile stroke treatment units may greatly improve survival rates, chance of recovery for ischemic stroke patients
Two new studies presented today at the Society of NeuroInterventional...
medicalxpress.com
Researchers uncover blood markers to identify women at risk for postpartum depression
Postpartum depression is a debilitating disorder that affects nearly 20...
medicalxpress.com
Some stroke treatments proven to reduce health care costs
Use of mechanical thrombectomy on qualifying stroke patients could result...
medicalxpress.com
Selective imitation shows children are flexible social learners, study finds
Psychologists at The University of Texas at Austin found that...
medicalxpress.com
It don't mean a thing if the brain ain't got that swing
Like Duke Ellington's 1931 jazz standard, the human brain improvises...
medicalxpress.com
Bigger Babies Filling NICU Beds (CME/CE)
(MedPage Today) -- Normal weight babies now comprise half of...
medpagetoday.com
In lab tests, new therapy slows spread of deadly brain tumor cells
The rapid spread of a common and deadly brain tumor...
medicalxpress.com
Physicians Stubbornly Work While Sick: HealthLeaders Media
(MedPage Today) -- Also, finding long-term joy in bundled payments...
medpagetoday.com
 


Privacy Statement - Copyright Information. - Contact Us

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

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