Dr Jo Schoeman
Urological Surgeon

        

Meatotomy

Product Summary: AMA rates

Opening of a meatal stenosis.

Item Number: 37321, 105

Why is it done?

  • To treat a narrowing in the tip of the urethra which has formed due to previous damage/injury to the urethra.
  • Where intermittent dilatation is not desired, as discussed with the patient.
  • Causes: after bypass surgery where a drop in blood pressure has caused an area of low blood supply to the urethra; trauma to the urethra (pelvic fractures/ urethral instrumentation); and sexually transmitted diseases.
  • The procedure involves surgical refashioning of your meatus.

How is it done?

  • Usually done in male patients
  • Selected Female patients can be considered.
  • Patients will receive a general anaesthetic.
  • Your meatus will be refashioned, in order to leave it patent without a narrowing.
  • An indwelling catheter is left till post-operative period.
  • Prophylactic antibiotics may be given to prevent infection.

What to expect after the procedure?

  • It may be slightly uncomfortable.
  • A catheter will be inserted in the urethra and bladder. This will remain in until you are awake.
  • Catheters can be very irritating and cause some discomfort.
  • Blood stained urine will be present.
  • Painful urination may persist for a few days.
  • NB! Each person is unique and for this reason symptoms may vary!

What next?

  • Patients will be sent home after a successful attempt at voiding.
  • You may experience some discomfort with every void, that will become less over the next few voids.
  • There may be some blood in the urine. This can be remedied by drinking plenty of fluids until it clears.
  • On discharge a prescription may be issued for patients to collect.
  • Patients should schedule a follow-up appointment with Dr Schoeman within 6-8 weeks.
  • Should patients have any problems with urination, please contact the rooms for an earlier appointment.
  • Please don’t hesitate to direct any further queries to Dr Schoeman’s rooms.
  • PLEASE CONTACT THE HOSPITAL WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.

Meatotomy Meatotomy (256 KB)