Insensitivity surgery to widen the opening of the stoma

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Nguyen Duc Thong - Anesthesiologist - General Surgery Department - Vinmec Danang International Hospital. The doctor has 14 years of experience in the field of Anesthesia.
Orifice enlargement surgery can be easily performed under spinal anaesthesia in adults. However, for young children who need general anesthesia: laryngeal mask anesthesia or endotracheal anesthesia is an anesthetic technique that expands to increase the diameter of the urethral orifice to facilitate urine circulation. normal.

1. Surgery to widen the mouth of the flute

Orifice enlargement surgery is an enlargement surgery to increase the diameter of the external urethral orifice in men to help urine flow normally.
Surgery to widen the opening of the stomata is indicated in cases of narrowing of the foramen without urethral dilation.

2. How normal is the flute hole?

A normal flute hole will have the following characteristics:
Males have the mucosal tissue around the opening of the flute that is evenly colored, ruddy and smooth. No itching or pain around the flute. The stomata secrete very little fluid to keep it moist or no secretions. Men urinate normally and urine flows in a stream with only the characteristic odor of urine. Men do not experience pain or discomfort during sex.

Nam giới không bị đau hay khó chịu khi quan hệ là đặc điểm dễ thấy khi có lỗ sáo bình thường
Nam giới không bị đau hay khó chịu khi quan hệ là đặc điểm dễ thấy khi có lỗ sáo bình thường

3. How is the surgery to widen the slit opening performed?

The surgery to widen the stoma is performed under anesthesia methods: Perform spinal anesthesia, or endotracheal anesthesia or laryngeal mask anesthesia.
Surgical technique with 5 steps:
Step 1: Perform dilatation to check the flute mouth as well as accurately assess the position and degree of narrowing of the foramen. Step 2: Make a wide incision at the 6 o'clock position when the penis is erect to the healthy urethra. Step 3: Conduct dilatation to check the remaining urethra to make sure that a urinary catheter of 14Fr or more can be placed for the patient. Step 4: Use slow indicator monosyl 4/0 or vicryl 4.0 to perform skin reconstruction with urethral mucosa, and at the same time ensure the patient's urethral mucosa is turned out. Step 5: Place a urinary catheter as well as bandage the incision for the patient.

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