Pharmacy Services Charges including Drugs &Medical Consumables
1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
Know More About Procedure & Surgery
What is Meatoplasty?
Meatoplasty is a surgery in which the end of a child’s penis is surgically opened and the edges are stitched together. This procedure is done when the opening at the end of the boy’s penis is too small or the shape of the hole distorts the urinary stream, making it difficult for him to urinate (pee). Meatotomy is the surgical opening of the hole (urethral meatus) with no stitching.
Who needs Meatoplasty?
Meatal stenosis occurs in around 10% of males. It’s a common, easily treated condition that affects circumcised male infants. This is also performed on patients who have a mild form of hypospadias (a birth defect where the opening isn’t at the tip of the penis).
What causes meatal stenosis?
Prior circumcision or surgery on the penis. Irritation, inflammation or injury to the meatus.
Symptoms
Symptoms of meatal stenosis include:
Trouble aiming the urine stream.
Very thin, upward- or sideways-pointing urine stream.
Spraying urine stream.
Pain upon urinating.
Need to urinate often.
A feeling the bladder has not completely emptied.
Because meatal stenosis is most often diagnosed after potty training, it’s usually the parents who notice such symptoms. If it’s not treated, meatal stenosis may lead to urinary tract infections and kidney problems.
Procedure
If your son has meatal stenosis, a meatotomy can be done to fix the problem. This is a simple procedure, usually performed on an outpatient basis. Some surgeries are performed in office with a topical anesthetic. For others, a general anesthetic will need to be used. Once your son is asleep, the provider passes a soft tube into the meatus to measure it, and then makes a small cut to enlarge the opening. Following the brief procedure, an antibiotic ointment or petroleum jelly will be applied to the area to prevent infection, and keep the site open and well lubricated.
Recovery
Most children experience minimal pain or no pain following meatoplasty. Some stinging or burning while urinating is normal. A small amount of bloody drainage is also normal. Children’s acetaminophen or ibuprofen and an antibiotic ointment/petroleum jelly are all that’s usually needed in the recovery period. A warm bath may also be prescribed. Your provider will advise the best post-operative care for your child, including the aftercare of the wound. Swelling or redness around your son’s meatus.
Before your child is discharged you will be given written information about care at home and any questions you have will be answered.
Diet: Resume regular diet as tolerated.
Activity: Your child may return to school or daycare when pain is well controlled. Avoid straddling activities, contact sports and swimming for 7 days or until completely healed.
Wound care: After the surgery, the tissue may swell or form small scabs at the meatus. This may cause temporary spraying or splitting of the urine stream and should resolve within 1-2 weeks of surgery. As time goes on, the swelling will improve and if used, the stitches or surgical glue will dissolve.
Your child may feel stinging or burning the first few times they pee which usually goes away within the first 24 hours.
Your doctor may order an anesthetic (numbing) cream to apply 10-15 minutes prior to peeing if burning or stinging while peeing becomes problematic.
Apply Aquaphor or Vaseline at least 4 times a day before and after peeing to prevent urine from irritating the area.
Keep your child well hydrated and encourage a potty-trained boy to empty the bladder every 2-3 hours.
Consider wearing loose fitting underwear. If your child is in diapers, change frequently and consider going without a diaper for periods throughout the day.
Avoid constipation.
Bathing: It is ok to take a bath 24 hours after procedure. Bathe (5-10 minutes) in plain water for the next 7 days. A daily warm bath will help with healing and provide comfort.
In adult men, the condition can result from surgery on the urethra, ongoing use of an indwelling catheter, or procedure to treat an enlarged prostate gland (BPH). In females, this condition is present at birth (congenital). Less commonly, meatal stenosis may also affect adult women.
There is no way to prevent meatal stenosis that is present at birth. Choosing to leave the penis uncircumcised would eliminate most cases of meatal stenosis.
This keeps urine from touching the urethra so it can mend. The catheter is often left in place for 14 to 21 days. After that time, an x-ray is taken to see if the injury has healed.
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