Urethral Meatotomy?

Published

Monday will be my first day as a solo circulator (yay!).

First case up is one I've never circulated-- a urethral meatotomy on a male.

(When I first read it on the schedule I saw it as a meat-otomy, as opposed to a me-a-totomy, although in this case I suppose either reading is appropriate ;))

I can't find an online description of this procedure-- all the info I can find says its a pretty simple incisional procedure to relieve a stricture of the urethral meatus. Can anyone here give me a more detailed description of what I can expect?

BTW--I did run across the fact that some men have this done not to relieve a stricture, but as an enhancement of sexual pleasure. Really. Apparently it exposes more of the sensitive urethral lining which increases sensation. I'll take their word for it....

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Here's an eMedicine article on meatal stenosis which describes a meatotomy in a pedi patient (not sure if it works the same way for an adult). It's not super-technical, but i found it informative.

http://www.emedicine.com/ped/topic2356.htm

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Ok, when i did a search to try to find more info, you don't EVEN want to know some of the results i got lol. EEEEEEEEEK!

Anyway...

http://www.emirateshospital.ae/english/Urology/Meatalstenosis.htm

And, also, the procedure is not much different for an adult. Matter of fact, where i work, we do this procedure MORE on adults, that peds pts.

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the links are good. follow them.

as for the spelling of them, remember that it is scheduling who types out most the information and they have had no idea (sometimes no training) of how to spell some of the procedures so give them a break. if it is close and you can figure it out; no problem; it’s not like a med where one letter can change the whole molecular structure of the product.

i got mostly Media on my query on the net so i left it alone. lol.

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
the links are good. follow them.

as for the spelling of them, remember that it is scheduling who types out most the information and they have had no idea (sometimes no training) of how to spell some of the procedures so give them a break. if it is close and you can figure it out; no problem; it’s not like a med where one letter can change the whole molecular structure of the product.

i got mostly Media on my query on the net so i left it alone. lol.

i didn't get Media, i got 'home surgery' techniques! :eek:

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it seems for some strange reason some males want to "split" it.

it is done at home too. that is enough on this topic. i would hate to be banned for that trash that came up.

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

I don't get WHY anyone would want to split it. When i first heard about this, uh, want, my first thought was "doesn't that make the aim for peeing a big mess?

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I don't get WHY anyone would want to split it. When i first heard about this, uh, want, my first thought was "doesn't that make the aim for peeing a big mess?

I would think so too!

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Update-- this supposedly very simple "clamp and snip" procedure (my very first total solo as a circulator) morphed into a considerably more complex procedure, requiring a bit more equipment and preparation. It ended up being a CO2 laser meatoplasty and urethroplasty so we had to have a laser certified RN run that machine, get a smoke evac etc. Still, it went well and the longer procedure gave me a bit of a breather to do my computer charting ;)

The second case, btw, was a "simple" lapchole, but the IOC showed a duct stone, so we ended up bringing in a second tower, using the choledochoscope (what a funny word!) which I'd never seen. All this while using a new, unfamiliar tower and slave video system. The Doc got a bit antsy and wanted everything done instantaneously. Oh yes, I was also babysitting a nursing school student. Still, I came through it all OK and was really juiced up about circulating on my own.

As a sort of reward, I did ESWLs all day today (snore!)

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

The Doc got a bit antsy and wanted everything done instantaneously.

Had one that got ansty (verbally) one time waiting on extra stuff to come in the room and i said "the magic wand is on backorder." He shut up.

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Congratulations on circulating on you own! I'm a new nurse in the OR too and I definitely understand the huge charge you get after circulating a big case well.

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Specializes in jack of all trades, master of none.

Marie LPN...

"The magic wand is on backorder" LOVE IT.... can I use that??? Please????

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