Opening of the posterior Urethra on the Perineum
Why is it done?
- Seldom done
- This procedure is performed when concentric extensive scarring in the urethra (strictures) causes Urinary Retention
- A long history of strictures.
- This is alternative to an invasive procedure where long periods of anaesthetic is contra-indicated and extensive grafts may be required
- Usually for chronically sick patients who cannot undergo surgery, yet are active enough not to want a permanent catheter.
- Patients who don’t want to / cannot do intermittent self-dilatation of these strictures
- Don’t want a permanent Indwelling Catheter penile/Urethral cripple
How is it done?
- Patients will receive a General Anaesthetic.
- Flexible cystoscopy is done through your urethra or suprapubic catheter site to find normal urethra (usually posterior urethra)
- A urethral sound is placed/ catheter
- A perineal incision is made.
- The urethra is divided proximal (above) the stricture
- The opening of the urethra is brought out and attached to the skin on the perineum (the area between scrotum and anus)
- A catheter is placed
- Prophylactic antibiotics will be given to prevent any infections.
- Persistent pain in penile shaft
- Pain in Perineum when seated
- Scarring of the opening requiring dilatation
- Possible infection
- NB! Each person is unique and for this reason, symptoms vary!
Copyright 2019 Dr Jo Schoeman