What exactly does metoidioplasty involve? How to prepare for your operation and what to expect after the operation? Below, you can read about the procedure, the risks of the operation and the period after the operation. The illustrations give you more insight into the surgical procedure itself.
About the metoidioplasty
Metoidioplasty without urethral extension
Metoidioplasty with urethral extension
Complications and risks during and after the operation
Problems with wounds
- Haemorrhaging usually occurs immediately after the operation. Depending on how severe the bleeding is, a second operation may be necessary to stop it.
- Wounds may open, for example, because sutures come apart prematurely. You must take good care of the wound, because re-suturing is not possible.
- Particularly around the sutures, wound healing can become impaired. This often happens to smokers, but sometimes also to non-smokers. This type of wound will generally heal by itself, but it can take a long time. Rinse the wounds regularly with lukewarm tap water and pat the area dry.
- Although the procedure is done in a clean and sterile way, there is always a chance of bacteria entering the wound and causing an infection. This can also happen later, once you are at home. Therefore, it is important that you take good care of your wounds. If the skin around the wound becomes warm and red, if the wound starts to fester or if you get a fever, this may be an indication of the wound being infected and you should contact the plastic surgeon.
- If there is insufficient perfusion in part or all of the skin, tissue will die off. This is what is known as wound necrosis. Sometimes, poor blood circulation can already be observed during the operation, in which case the surgeon will improve the circulation. It also may occur after the operation and will usually recovers by itself, but sometimes a repair operation will be necessary.
- Narrowing of the urethra (stenosis) may make it difficult to urinate. Stenoses are treated by regularly stretching the urethra, over a number of weeks or months, which is done at the outpatient clinic or by yourself. Sometimes, surgery will be required. The risk of stenosis in cases without urethra extension is 5%, whereas with urethra extension, this is more than 50%.
- The extended urethra may find an opening to the outside, causing urine to leak out of this opening. This is called a fistula. Sometimes, the opening will heal on its own, but it can also require surgery to correct this situation. Without urethra extension, the risk of a fistula is 5%, whereas with such an extension, this risk is over 50%.
- Even after a successful urethral extension, leakage is common. The outpatient clinic can provide information and give you instructions on how to massage the urine out of the urethra.
Loss of feeling
End result and secondary corrections
This text was edited on 7-10-2022
We recommend that you go through all the information step by step to get a complete picture of the different treatment options and the process around them!
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