Definition:
it consists in the incision of the external meatus because it is stenotic or substenotic to its calibration with “bougie à boule”: at times it becomes a preliminary act to an endoscopic intervention in order to introduce the operative instrument into the bladder.
Intervention:
the meatotomy is made with an incision made at 10-11 o’clock of the meatus, which makes the meatus pervious to a 20-22 Ch catheter, and with the subsequent suture of the urethral mucosa to the external genital mucosa.
A catheter is left in place for some hours essentially for hemostatic purposes.
Type of anesthesia:
the surgery can also be performed with a simple local anesthesia.
Duration of the intervention:
few minutes.
Preparation for intervention:
antibiotic prophylaxis may be useful.
Postoperative course:
the operation is performed in Day-Surgery.
Intraoperative complications:
bleeding from the incision, however dominable by inserting into the urethra a catheter of appropriate caliber.
Remote Complications:
possible recurrence of the stenosis.
Postoperative checks:
uroflowmetry evaluation and possible remote urethral calibration.
Advantages:
simple intervention.
Disadvantages:
from a functional point of view it can be conditioning the mitto to bagnafiore that is realized.