Mateer Surgery: Procedure, Risks, And Recovery

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Mateer surgery, also known as urethroplasty, is a reconstructive surgical procedure designed to repair or rebuild the urethra, the tube that carries urine from the bladder to the outside of the body. This surgery is typically performed to address urethral strictures, which are narrowings of the urethra that can cause a variety of urinary problems.

Understanding Urethral Strictures

Urethral strictures can result from several factors, including:

  • Injury: Trauma to the pelvic area or urethra can lead to scarring and subsequent strictures.
  • Infection: Sexually transmitted infections (STIs) or other infections can cause inflammation and scarring.
  • Medical Procedures: Prior catheterization or endoscopic procedures can sometimes injure the urethra.
  • Congenital Conditions: In rare cases, individuals may be born with urethral abnormalities.

Symptoms of urethral strictures may include:

  • Difficulty urinating
  • Weak urine stream
  • Frequent urination
  • Painful urination
  • Urinary tract infections (UTIs)

The Mateer Surgery Procedure

The goal of Mateer surgery is to widen the urethra and restore normal urinary function. There are several techniques used in urethroplasty, and the choice of method depends on the length and location of the stricture. — Vanessa Rae Adams: Life And Legacy

Common Techniques

  • Excision and Anastomosis: This involves removing the narrowed section of the urethra and directly reattaching the healthy ends. It is typically used for short strictures.
  • Graft Urethroplasty: This technique involves using a graft of tissue, often taken from the cheek (buccal mucosa) or other areas of the body, to widen the urethra. This is used for longer strictures.
  • Flap Urethroplasty: This involves using a flap of skin from the penis or scrotum to reconstruct the urethra.

The surgery is performed under general or spinal anesthesia. The surgeon makes an incision in the perineum (the area between the scrotum and anus) or the penis to access the urethra. The narrowed section of the urethra is then repaired or reconstructed using one of the techniques mentioned above.

Risks and Complications

As with any surgical procedure, Mateer surgery carries certain risks and potential complications, including:

  • Bleeding: Excessive bleeding during or after the surgery.
  • Infection: Infection at the surgical site.
  • Urethral Fistula: Development of an abnormal connection between the urethra and the skin.
  • Stricture Recurrence: Narrowing of the urethra may occur again over time.
  • Erectile Dysfunction: In rare cases, nerve damage during surgery can lead to erectile dysfunction.
  • Incontinence: Difficulty controlling urination.

Recovery and Aftercare

Following Mateer surgery, patients typically require a hospital stay of a few days. A catheter is usually left in place for several weeks to allow the urethra to heal. Pain medication is prescribed to manage discomfort.

Recovery Tips

  • Follow the surgeon's instructions regarding wound care and catheter management.
  • Avoid strenuous activities and heavy lifting for several weeks.
  • Attend all follow-up appointments to monitor healing and address any concerns.
  • Stay hydrated and maintain a healthy diet to promote healing.

Conclusion

Mater surgery (urethroplasty) is an effective treatment option for urethral strictures. While it carries some risks, the majority of patients experience significant improvement in urinary function. If you are experiencing symptoms of a urethral stricture, consult with a urologist to determine the best course of treatment for your individual condition. — Best Small Cars For Tall And Large People

Disclaimer: This article provides general information only and should not be considered medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment of medical conditions. — Nick Scali Furniture: Styles, Quality & Reviews