What is the procedure of Meatotomy?

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A  meatotomy is a kind of penile alteration in which the underside of the glans is split. This means the opening at the end of the penis has been stretched to facilitate the improved flow of urine. The surgical procedure may be performed by a doctor to ease meatal stenosis or urethral stricture or by a body modification practitioner for the purpose of sexual pleasure or aesthetics also. Meatal stenosis occurs when the opening of the urethra, where urine exits a person’s penis, is too small or narrow for urine to pass. This extra skin that grows in the urethral opening acts like the tip of a garden hose being blocked or pinched. This causes the stream of urine to spray or deflect upward. To let the urine flow freely, a small cut is made to enlarge the hole. The cut is made in the tissue at the end of the penis and this tissue is called meatus. This surgery is called Meatotomy.  A meatotomy can also result from a Prince Albert piercing being torn out. The Prince Albert (PA) is one of the more common male genital piercings.


What is Meatoplasty?

The surgery in which the surgeon uses a few stitches to stop the opening from narrowing again is called a Meatoplasty.


Is Meatotomy done on children?

The opening at the tip of the penis is called the ‘urethral meatus’. Occasionally, this opening is too small, making it hard for the child to pass urine. A meatotomy (or meatoplasty) is the procedure done to enlarge this opening. This may be done in the office using a local anesthetic (a numbing jelly) or in the operating room with anesthesia. Most children do not have much pain after this procedure. The child may feel a little stinging or burning the first time he urinates, but this usually goes away fastly.


What are the various methods in which Meatotomy is done?

  • Several methods may be used to make the cut. However, a doctor will generally crush the vernal meatus, urethra, and upper frenulum, an elastic band of tissue under the glans penis for 60 seconds with a straight mosquito hemostat and then divide crush line with fine-tipped scissors.
  •  Other methods include cauterization, cutting with a scalpel (sometimes aided by clamps) or by using the available fistulas from piercing to tie-off the area to be cut.
  •  Based on the structure of the individual and the degree of the split, meatotomy may be done with a scalpel that may involve heavy bleeding while crush and cauterization techniques are comparatively done without any blood loss.
  •  In spite of the procedure used, meatotomy, like other genital modification and genital piercing, heal rapidly.
  •  Contrary from the other genital modifications, the glans tissue does not have a tendency to re-stick to itself or heal closed.


How is Meatotomy surgery performed?

  • Either a full general anaesthetic where the patient will be asleep throughout the procedure or a spinal anaesthetic where the patient will be awake but unable to feel anything from the waist down will be used.
  •  A special anesthetic (numbing) cream (EMLA) is applied to the end of the penis and covered with a membrane dressing that looks something like Saran Wrap.
  •  The cream should be applied thick enough that the skin of the penis can’t be seen through the dressing.
  •  About 40 minutes later the penis should be numb.
  •  Rarely, the procedure is done in the operating room under a brief general anesthesia.
  •  The opening of the urethra is usually incised with either suturing of the edges of the incision or insertion of a skin graft into the opening.
  •  Absorbable sutures are used and do not require removal.
  •  At last, the doctor probe the urine channel to make sure that there are no narrow spots further up the channel.
  •  Occasionally, it is necessary to insert a catheter into the urethra (water pipe) after the procedure.


What are the post-surgical procedures?

  •  If a catheter has been inserted, it is normally removed after 24 hours.
  •  The average hospital stay is 3 days.
  •  After the procedure, it is vital to spread the opening and apply ointment such as aquaphor or an antibiotic ointment such as Neosporin or bacitracin three times a day, and at bath time for one week. This will prevent the edges of the new opening from closing back together.
  •  If the surgery is done for a child, he/she should sit in a tub of clear, warm water without soap or bubble bath for 10 to 15 minutes each day, starting the day of You do not have access to view this node. This will help keep the area clean and prevent crusting.
  •  The penis should be kept clean and dry.


What is the recovery time?

Meatotomy usually heal approximately within a week.


What are the side-effects of Meatotomy?

  •  In addition to the exposure of earlier internal You do not have access to view this node, the newly enlarged urethral opening may delay the capability to control the direction and shape of a person’s urine stream.
  •  This may result in untidy urination and the patient needs to sit while urinating, although, this is not generally true.
  •  The larger urethral opening may also decrease the velocity of ejaculate, in so doing reducing the distance of ejaculation.
  •  Recovering from a meatotomy can be painful and difficult.
  •  Some patients may experience heavy bleeding, swelling, or intense pain after meatotomy.


When should a Meatotomy patient reach for medical help?

In case of the following conditions after You do not have access to view this node, the patient should visit the doctor.

  • Increased drainage or bleeding from the incision
  •  Chills or fever over 101°F by mouth
  •  red streaks from the incision
  •  pain not controlled by pain medicines.
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