Urethrotomes
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Urethrotomes are surgical instruments used in urethrotomy for cutting the urethral stricture. An operation involves incision of the urethra for relieving the pain of a stricture. An urethral stricture is caused by injury, infection or instrumentation of urethritis. After urethrotomy, the patient is dismissed from the hospital after approximately six hours.
During the procedure, the patient has to lay down in the lithotomy position, then the urinary tract is cleaned with a scrub, which contains povidone-iodine. Patients are given general or spinal anesthetic, depending on the level of discomfort. The whole length of the stricture is medicated using an infiltrative technique. Urethrotome will be inserted as close as possible to the stricture, and the tip of the instrument will cut the diseased area of a stricture. Until the patient is discharged from the hospital, constant monitoring is essential: pulse oximetry, cardiac monitoring, body temperature and blood pressure in order to ensure that the procedure was performed efficiently.
The usage of urethrotomes during surgeries provide better urine flow, improve bladder emptying, make the urinary tract less prone to infections and reduce the need to get up at night. Specific side effects of urethrotomy can appear sometimes: retention of urine, a swollen penis, narrowing of another part of the urethra.
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