LESSON 3: Procedures in Genitourinary Surgery

Section v: operations on the scrotum, penis, and urethra

3-41

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3-41. EXCISION OF URETHRAL CARUNCLE

a. General. This procedure involves the removal of papillary or sessile tumors of the urethra. It is done to rectify an inflammatory prolapse from the lower lip of the female urinary meatus.

b. Operative Procedure for the Removal of Papillary Growth. The growth is exposed, clamped at its base with curved hemostats, and excised. A urethral indwelling catheter is inserted into the bladder. The wound is closed.

c. Operative Procedure for Removal of Sessile Growth. A circular skin incision is made around the meatus and carried through the submucosal layer. The urethra is freed from the caruncle, the meatus is dissected back to the healthy tissue, and the diseased portion of the urethra is excised. The mucocutaneous junction is approximated with fine chromic gut sutures. An indwelling urethral catheter is introduced and is kept in the bladder for at least 5 days.

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