2nd Stage Urethroplasty

During the 2nd stage urethroplasty operation the urethra (water pipe) is rolled into a tube. After the operation you can expect to return to the ward with a dressing around the penis which will keep the wound clean and dry. If you are discharged home with the dressing in place you will be advised as to when it should be removed.

If the dressing is removed before you leave hospital you will be supplied with pads to protect the wound and support the penis in your underwear.

You will also be sent home with a urinary catheter in place to divert urine away from the wound to keep it dry and promote healing. To prevent breakdown of the wound on the penis it is essential that the catheter is secured to prevent it pulling down on the wound and stitches. You will be given instruction on caring for your catheter at home by the ward staff.

If you go home with the dressing in place it is important to keep the dressing dry so you must not bath or shower.

You will receive a date for catheter removal 2-3 weeks after the surgery which will take place in clinic, or sometimes in our radiology (X-ray department) after a peri-catheter urethrogram. A peri-catheter urethrogram is a study whereby a very fine tube is inserted alongside the catheter and contrast medium is injected to establish if the wound has healed.

What to expect when you get home

Bleeding: You should not experience any major bleeding. It is however normal for there to be slight ooze of blood onto the pad. This can be stopped by applying pressure to the area using a clean piece of gauze to press firmly onto the area for about 10mins.