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Why is it done?

  • Prolapsed urethral mucosa causing pain and bleeding
  • Occurs from childhood to old age


How is it done?

  • This procedure is done under a spinal/general anaesthetic, as decided by the anaesthetist.
  • The legs will be elevated into the lithotomy position. (stirrups)
  • This procedure is done with cystoscopy.
  • Your bladder and urethra is inspected with cystoscopy
  • The prolapsed mucosa will then be excised at the external meatus.
  • Dissolvable sutures will be placed for hemostasis
  • A catheter will be placed until you are awake for some compression.
  • Prophylactic antibiotics will be given to prevent infection.




  • Any anaesthetic has its risks and the anaesthetist will explain all such risks.
  • Complications: hemorrhaging, and urine retention
  • Patients catheter will be removed the next morning.
  • If you cannot urinate after 2-3 attempts, a catheter may be inserted to empty your bladder.
  • You may be required to keep the catheter for a few days if you have persistent bleeding or urinary retention.
  • NB! Each person is unique and for this reason, symptoms may vary!


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Copyright 2019 Dr Jo Schoeman