Periurethral Mass Excision
Table of contents
Operative Note
Each of these cases is unique enough that there is no standard operative note. A large part of the case will, however, certainly be protection of the urethra. The female urethra is an average of 24fr. Using a large catheter (18-22fr) is a good way of doing this. Adequate exposure and hemostasis are also critically important.
Postoperative Considerations
| Follow Up | 6 Weeks |
| Voiding Requirements | SEE BELOW |
| Opioids | AS NEEDED: Oxycodone 5mg PO Q6H #6 |
| Pain Control | SCHEDULED: 1g acetaminophen and 600mg ibuprofen Q6H x 4 days, ALTERNATE |
| Precautions | Urinary tract infection, Urinary retention, Bleeding |
| Restrictions | Pelvic Rest x 6 weeks, Resume other activity slowly and as tolerated |
If the uretha is opened during the case, the foley catheter (or a suprapubic catheter) will stay in place for about 10 days. If the urethra was not compromised, then a passive voiding trail in the recover room is appropriate (PVR should be < 150mL>).
Patient Education
Preop
Depends on the case.
Postop
Patient Education
Cerner > Discharge Tab > Patient Education > Custom
- Stewart - Postop Pain Control (Custom)
- Stewart - Contacting IU Urogyn (Custom)
- ANY/ALL LEAFLETS FOR PRESCRIBED MEDICATIONS
Patient Instructions
.jrs-postop-periurthral-mass