Surgical removal of lesion from urethra

What is this?

Open removal of a lesion in the urethra or at the urethral opening

What alternatives are there?

Endoscopic removal, observation

What to expect before procedure

You will usually be admitted on the same day as your surgery although it may be necessary to admit you on the day before surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Normally, a full general anaesthetic will be used and you will be asleep throughout the procedure. In some patients, the anaesthetist may also use an epidural anaesthetic which improves or minimises pain post-operatively. The abnormal lesion is normally excised using a small incision in the penis or the perineum, depending on the site of the lesion. Absorbable sutures are used to close the incision and do not need to be removed.

After the procedure

A catheter is often placed in the urethra (water pipe) to allow urine to drain from the bladder and enable the wound to heal soundly. The average hospital stay is 4 days.

Potential side effects