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Цель — увеличить диаметр меатуса для обеспечения нормального оттока мочи и устранения связанных с сужением симптомов [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n\nОперация может проводиться как самостоятельная процедура или на подготовительном этапе к другим урологическим вмешательствам через уретру [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya)[4](https://klinikabudzdorov.ru/centr-hirurgii/operativnaya-urologiya/meatotomiya/).\n\n\n\n## Показания\nМеатотомия показана в следующих случаях: \n* **Стеноз (сужение) меатуса** — врождённое или приобретённое сужение наружного отверстия мочеиспускательного канала [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Затруднённое мочеиспускание** — слабая или разбрызгивающаяся струя мочи, затруднённое начало мочеиспускания [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Боль при мочеиспускании** — дискомфорт или боль, связанные с сужением меатуса [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Рецидивирующие инфекции мочевыводящих путей** — в некоторых случаях сужение меатуса может способствовать развитию инфекций [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Травмы меатуса** — после травм, приводящих к сужению наружного отверстия мочеиспускательного канала [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya).\n\n## Противопоказания\nНекоторые противопоказания к меатотомии: \n* **Активная инфекция мочевыводящих путей** — необходимо предварительное лечение инфекции [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Тяжёлые нарушения свёртываемости крови** — могут повысить риск кровотечения во время и после операции [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Выраженное воспаление в области меатуса** — требует предварительного лечения воспаления [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya).\n\n## Техника проведения\nОперация может проводиться под местной анестезией или внутривенным наркозом (предварительно обсуждается с анестезиологом) [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya). Некоторые этапы меатотомии: \n* Хирург вводит в уретру скальпель (обычный или лазерный) и рассекает её до необходимого разреза [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya). \n* С помощью катетера проверяет достаточность диаметра и глубины надреза [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya). \n* Слизистая мочеиспускательного канала сшивается саморассасывающимися нитями с кожей головки пениса, формируется внешнее отверстие уретры [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya). \n* Рану обрабатывают антисептиком и накладывают стерильную повязку [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya). \n\nПродолжительность операции — около 15–20 минут [2](https://lasalute-clinic.ru/operativnaya-urologiya/meatotomiya).\n\n## Реабилитация\nПосле меатотомии рекомендуется: \n* **Регулярная обработка области меатуса антисептическим раствором** — 2–3 раза в день [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Нанесение мази с антибиотиком** (по назначению врача) для предотвращения инфекции [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Приём обезболивающих препаратов** — при необходимости для купирования болевого синдрома [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Обильное питьё** (не менее 2 литров жидкости в день) [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Регулярное мочеиспускание** [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Избегать травмирования области меатуса** [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n* **Соблюдение полового покоя** в течение 1–2 недель (по рекомендации врача) [1](https://murom.rzd-medicine.ru/uslugi/meatotomiya). \n\n**Контрольный осмотр** — посещение уролога через 1–2 недели после операции для оценки заживления и исключения осложнений 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