UniPi
DIRIGENTE MEDICO UOC Urologia
Nuovo Ospedale S.Giuseppe - Empoli
Dottorato di Ricerca in Scienze Chirurgiche, Anestesiologiche e dell'Emergenza - Università di Pisa

Urethral meatotomy in women

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.

Contacts & appointments

Lucca:
Centro Medico San Luca
(presso Check up Medical Center)
via Romana Traversa II, 35
0583 495473
0583 080338

Livorno:
via del Mare, 83
347 6439874

Pisa:
Centro le Querciole
via di cisanello 1/A
Ghezzano
347 6439874

Empoli:
Centro Salus
via Chiara, 111
0571 711818

Cellulare privato:
347 6439874


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