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Meatotomy (102.141)

Meatotomy (102.141) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Urologic

102.141

1
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

TITLE: MEATOTOMY

Effective Date: January, 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed November 2007 May 2009 March 2012


PURPOSE: To provide guidelines for preparation and follow-up of patients undergoing a meatotomy at
UWMF Clinics.

DEFINITION: A meatotomy is the incision of the urinary meatus in order to enlarge it.

POLICY: The clinical staff will utilize the following guidelines to assist with the preparation and follow-up of
UWMF patients undergoing a meatotomy.

SUPPLIES: Provider’s order, Patient’s record
2 pair of non-sterile gloves, sterile drape sheet, iris scissors
Straight hemostat, betadine swabs, lubricating gel
Emla cream with Tegaderm dressing, 2 sterile gauze sponges
Prescribed antibiotic ointment, consent form for procedure
Prior to procedure

1. Verify provider order.

2. Wash hands and gather equipment.

3. Room patient using standard Urology Clinic procedure.

4. Identify patient, including date of birth.

5. Verify allergies, specifically to lidocaine, betadine, antibiotic ointment

6. Following the provider’s discussion/explanation of procedure with patient, have patient (or patient’s
parent) sign Consent for Procedure and sign consent form as a witness.

7. Position patient on the table with genitals exposed.

8. Wash hands and put on non-sterile gloves.

9. 1 hour prior to procedure put a dime size drop of Emla cream on tip of penis
NOTE: DO NOT rub the Emla cream into skin.

10. Wrap Tegaderm dressing around shaft of penis, leaving a small
portion above the head of the penis, Pinch together the end of
the top of the Tegaderm to form a tent over the glans.

11. Cover patient with sterile drape sheet.

2
Procedure
1. Wash hands and gather equipment.

2. Create a sterile field by placing a sterile sheet on counter or Mayo stand.
Using sterile technique, place iris scissors, straight hemostat, sterile gauze sponges on sterile field.

3. Using sterile technique, put a small amount of sterile lubricant on sterile field.

4. Ensure patient’s comfort and assist provider (as needed).

5. Provider will prep the patient with betadine swabs, just prior to the procedure.
NOTE: If patient allergic to iodine, use 4% chlorhexidine gluconate solution for cleansing.

After procedure
1. Assist patient to comfortable position.

2. Clean counter and table with Dispatch and clean instruments in Metriclean 2.

3. Package instruments in autoclave pouch for sterilization.

4. Discharge instructions given per provider.

5. Assist with follow-up appointment (if needed)

6. Documentation (in Progress Notes section of HealthLink) in the patient’s record:
Patient education
the procedure performed, date & time completed
how patient tolerated procedure
discharge instructions
follow-up appointment (if any)


WRITTEN BY: Deb Brausen, R.N., Manager, Department of Urology
Terry Ridderbusch, R.N., Department of Urology
Gail Jahnke, R.N., N.P., Department of Urology

REVIEWED BY: Donnette Kelly, RN, Department of Urology, 2012

AUTHORIZATION:

______________________________________________________________________________
Department of Surgery, Urology Date


Medical Director Date