Meatotomy or Meatoplasty


Meatotomy or Meatoplasty

Approximate time30 min

What is a meatotomy or a metatoplasty of the urethra?

It is a surgical operation that aims to widen the opening of the urinary meatus (the end of the urethra) which, for various reasons, can be narrowed and does not allow the proper passage of urine. A classic example is the stenosis at the level of the spongy urethra in men.

The meatotomy is essentially the incision and enlargement of the urinary meatus, while the meatoplasty is the remodeling of the urethral meatus.

How does a meatotomy or a meatoplasty work?

Under local anesthesia and a penile block, Dr. Marois makes an incision in the stenosis, using a scalpel or electrocauter, to obtain a functional opening. Absorbable sutures are then put in place. A urinary catheter is sometimes left for a short time.

Who are the candidates for a meatotomy or a meatoplasty?

Patients with severe and recurrent urethral stenosis, despite regular self-dilatation.

What are the possible complications following a meatotomy or a meatoplasty?

  • Possible recurrence; a narrowing of the urethral meatus after the surgical procedure, may occur in some patients
  • Loss of elasticity of the tissues in the urethra
  • Bleeding (can last from a few days to a few weeks)
  • Infection (rare)

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Preparation for a urethral meatatomy or a meatoplasty

  • A cystoscopy is sometimes performed before surgery to allow or to confirm the diagnosis of urethral stenosis.
  • Urine analysis and culture are carried out before the intervention, to check for sterility or to treat a possible infection.
  • A general blood test is sometimes necessary, especially to study the kidneys’ function.
  • Anticoagulant medications should usually be stopped a few days before the procedure. Aspirin therapy can sometimes be continued at low doses.
  • In preventing an infection, the patient is likely to receive a dose of antibiotics before the procedure.
  • It is best to be accompanied, because of the sedative medication that can be taken before (eg. Anxious patients).

Recommendations after a meatotomy or a meatoplasty

  • Although rare, a urinary catheter can be put in place for a few days. If this is the case, the patient will be able to return to one of our clinics to have it removed.
  • Avoid physical effort for 7 days.
  • Wait 48 hours before resuming daily activities.
  • Wait 7 days before resuming sexual activity.
  • Postoperative follow-up is planned after 2 months; you must take an appointment!
  • In cases of recurrence or severe stenosis, temporary auto-dilation is sometimes proposed.

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