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Perineal incision, urethral measurement and dissection D. Moon, Alastair Lamb

Perineal incision, urethral measurement and dissection

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Information

Title: Perineal incision, urethral measurement and dissection
Co-author(s): Alastair Lamb
Date: 25-03-2017

Description

Perineal dissection

  • Perineal incision
  • Base of the corpora
  • Self-retaining retractor
  • Midline dissection
  • Scott ring retractor
  • Urethral dissection – care not to injure
  • Urethral leak test

 

Urethral calibration

  • Urethral calibre measurement. Usually 4.0 or 4.5cm
  • Ensure adequate width behind the urethra to avoid cuff compression

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Suprapubic incision

  • Transverse above the pubic bone.
  • Through the rectus sheath – split not divide
  • Create a pocket. 

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