Procedures
Urethral dilatation
Description of the approach
It is a surgical operation that aims to widen the opening of the urethral meatus which has a narrowing, including a meat stenosis in humans.
The dilation of the urethral meat is essentially a progressive enlargement of the urinary meatus then allowing better urination.
- An Ativan may be offered an hour before the procedure to help calm the person.
- Anti-coagulant drugs should be stopped a few days before the procedure. Aspirin treatment can sometimes be continued at a low dose.
- To prevent infection, you may be given a dose of antibiotics before the procedure.
- Avoid physical exertion for seven days.
- Resumption of activity is usually rapid (within a few days).
- Sexual activities can be resumed after seven days.
- A post-operative follow-up will be done within four to 12 weeks; follow-up consists of evaluating the improvement in urinary symptoms and the good quality of the bladder emptying. Recurrences are unfortunately frequent.
- In the event of recurrence, home self-dilation is sometimes offered.
How does a dilation of the urinary is performed?
Under local anesthesia and a penile block, Dr Marois introduces dilators of progressive size with anesthetic gel into the stenosis to have a satisfactory opening. A urinary catheter is rarely left in place. It is a rather uncomfortable intervention.
Who are the candidates for dilation of the urethral meatus?
Patients with meat stenosis who have difficulty urinating, abnormal emptying, or recurrent urinary tract infections.
What are the complications of dilation of the urethral meatus?
Some patients have recurrence-type complications, that is to say that they present again a metalic narrowing after the surgical operation. The complication is most often secondary to a loss of elasticity of the circumferential tissues. The bleeding may last a few weeks.