Urethroplasty
Procedure
1. Hold the glans with a
silk stay suture.
2. Mark
the incision with a marking ink or pen.
3. Make
a ‘U’ shape incision on the ventral surface of the penis around the meatus.
4. Roll
it into a tube over a # 6 feeding tube.
5. Make
the water tight urethra with PDS.
6. Approximate
subcutaneous tissue with catgut.
7. Close
skin with interrupted nylon suture.
8. Apply
compression penile dressing.
Options
1. Single stage
urethroplasty, if no chordee.
2. Multistage
procedures, if associated with:
• Chordee
• Torsion of phallus.
Instruments
General Pediatric Surgical Set
Special instruments
• Fine
scissors 1
(Fig. 21.4)
• Fine
tissue forceps 2
(Fig. 21.5)
• Skin
hooks 2
• Measuring
scale 1
• Marking
ink/pen 1
• Silastic/PVC
catheter # 6, 8
Sutures
• 5/0 PDS/Dexon 1
• 5/0 Catgut 1
• 4/0 Silk 1
• 5/0 Nylon 1
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