What to expect from meatotomy:
The following are some of the things that you need to know before deciding whether or not you want to undergo a meatotomy:
1) A meatotomy is a surgical operation which involves removing part of your stomach (or other organs) in order to treat certain diseases.
The surgery may involve cutting into your stomach, intestines, liver, pancreas or any other organ. The main purpose of such a surgery is to cure various illnesses and conditions.
2) There are different types of meatotomies.
Some surgeries require only one organ to be removed while others may involve multiple organs being removed. You will have to decide what type of surgery you wish to go through.
3) Your surgeon will determine how much tissue you’ll lose during the surgery, which means that it might take longer than expected if the amount of tissue loss isn’t known beforehand.
4) Most surgeons recommend that you wait at least two weeks after the surgery before eating anything else.
After that time, you should avoid all foods containing blood for several days. If you still feel sick, then your doctor will tell you when to eat again.
5) During the surgery itself, your surgeon will make incisions in your body so that they can access and remove parts of your digestive system.
While this is happening you may experience some pain. Most patients are given general anesthesia during the procedure so that they may sleep through any pain.
6) After the surgery you will probably be in the hospital for a few days, depending on how well your body recovers from the procedure.
Once you are allowed to leave the hospital, you will need to stay close to home for at least a week.
7) You may experience some pain after the surgery.
Pain medication will most likely be provided to you to help you get through this.
8) After a meatotomy, you may notice changes in your bowel movements.
Fecal incontinence or diarrhea may occur. Most patients are able to manage this condition by maintaining a healthy diet and taking stool softeners and other medications.
9) In rare cases, death can occur during or after a meatotomy.
Some patients have died due to excessive bleeding. A small number of people have also died from infections caused by improperly sterilized equipment.
10) One of the most common side effects of a meatotomy is gastroesophageal reflux disease (GERD). GERD occurs when stomach acid leaks into the esophagus, and causes severe heartburn and other uncomfortable symptoms. Other risks include malnutrition, anemia and sepsis caused by infected incisions.
Are there any risks associated with this procedure?
There are always risks involved when you undergo a medical treatment or surgery. The important thing is to know what you’re getting into before you make your decision. It is strongly recommended that you seek a second, third and even fourth opinion from other physicians to confirm that this is the best course of treatment for you. Only you can decide if the benefits outweigh the risks for you.
Does this procedure have any side effects?
Every procedure and every patient is different. The procedure described here had certain effects for the particular patient discussed. Your results may vary. Talk to your doctor about what to expect during and after the procedure.
Will this procedure make me feel sick?
The stomach produces acid to help with the digestion of food. If you no longer have a stomach, then you won’t be able to digest any food. This will in turn cause malnutrition. Most patients are given some liquid meals through a feeding tube during and after the surgery. Your doctor may also instruct you to take supplements such as iron pills to increase your chances of combatting anemia. This should be sufficient enough to keep you healthy.
What should I look out for after the surgery?
The biggest concern with this surgery is reflux, which is a condition in which stomach acid leaks into the esophagus. This can cause severe heartburn and make it difficult to eat or even breathe. Most patients suffer from reflux for at least a few weeks or months after the procedure; however, some people experience reflux for years afterwards. Reflux can be managed with acid-reducing medication, elevation of the head when sleeping and, in severe cases, surgery to cut away excess tissue in the esophagus.
What should I do to prepare for this surgery?
Usually, but not always, you will be asked to stop taking blood thinners such as aspirin, Advil and other similar medications two weeks before surgery.
Sources & references used in this article:
A LAYMAN’S OBJECTION TO MEATOTOMY by AC ENGINEER – Medical Record (1866-1922), 1887 – search.proquest.com
Experimental study on role of intravesical ureter in vesicoureteral regurgitation by R Witherington – The Journal of Urology, 1963 – auajournals.org
A prospective survey of the indications and morbidity of circumcision in children by DM Griffiths, JD Atwell, NV Freeman – Eur Urol, 1985 – cirp.org
Stenosis of the external urethral meatus by MF Campbell – The Journal of Urology, 1943 – auajournals.org
Residual and recurrent acoustic neuroma in hearing preservation procedures: neuroradiologic and surgical findings by A Mazzoni, V Calabrese, L Moschini – Skull base surgery, 1996 – ncbi.nlm.nih.gov