Progress of the operation and care
After anesthetic gel and infiltration, the surgeon clamps the ventral edge of the opening by 3–5 mm with a clamp and dissects it; the edges of the urethral mucosa are sutured to the skin of the glans with 2–4 thin absorbable sutures so that the opening does not close again. The patient urinates immediately after surgery. Over the course of 2–4 weeks, an antibiotic or corticosteroid ointment (for lichen) is applied and the hole is calibrated. In children, the operation is performed under short-term anesthesia.
Meatostenosis
Narrowing of the external opening of the urethra occurs after inflammation (balanitis, lichen), trauma, circumcision in infants and is manifested by a thin stream, upward deviation of the stream, straining, and drops of blood at the end of urination. A meatotomy is a simple outpatient surgery under local anesthesia that removes the narrowing in 15 minutes.
Hypospadias
A congenital anomaly in which the opening of the urethra does not open at the top of the head, but lower - on the shaft, at the scrotum or perineum, often with curvature of the penis and a “hood” of the foreskin. The operation restores the urethra to the apex, straightens the penis and gives it a normal appearance; The optimal age is 6–18 months, but the operation is performed on both adolescents and adults. The result for distal forms is 90–95% in one operation.
