Delicate removal
The polyp is excised at the base within the healthy mucosa; The edges of the urethra and vestibule are matched with thin absorbable sutures on the catheter - this way the shape of the opening and free urination are maintained. The radio wave minimizes bleeding and swelling. The causes of polyps (chronic inflammation, hypoestrogenism in menopause) are corrected after surgery - local estrogens reduce the risk of relapse in menopausal women. Histology after 7–10 days closes the oncological question.
Indications
- polyp of the external urethral opening in women: bleeding, pain, dysuria;
- urethral caruncle, mucosal prolapse;
- paraurethral cyst (tabernacle glands): formation near the urethra, dyspareunia, suppuration;
- recurrent urethritis associated with a cyst.
Features of urethral surgery
The urethral area requires jewelry technology: it is important to radically remove the formation and at the same time maintain lumen and urine retention. Polyps are excised at the base and plastic surgery of the mucosa “edge to edge” - relapses are rare; paraurethral cysts are necessarily enucleated entirely (opening leads to relapse and fistulas), and the passage into the urethra, if present, is sutured with a catheter. Histology excludes rare urethral tumors. The operations are performed by urologists with experience in reconstruction; urination function is completely preserved.
