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A “Baby” Ureteral Meatotome
THE JOURNAL OF UROLOGY
Vol. 66, No. 4, October, 1951 Printed in U.S.A.
A "BABY" URETERAL MEATOTOME LEANDER W. RIBA
AND
JAMES B. REYNOLDS
We have experienced difficulty in performing a ureteral meatotomy in children through a small caliber cystoscope. Meatotomes are usually designed for use through an operating cystoscope or urethroscope. Tightly constricted ureteral meati in adults may present extreme difficulties ,vith standard instruments.
Frn. 1. "Baby" meatotome, 5F, being passed through 15F McCarthy cystoscope. Calibration on bakelite is shown. A shows loop extended.
The Greenwald Co. Inc. has made a baby ureteral meatotome for us, size 5F, which can be used through a 13 or 15F McCarthy cystoscope. The flexible portion is 37 cm. long and the cutting loop may be expended to a 15F. We have found this instrument (fig. 1) most valuable in performing a ureteral meatotomy through a small or large instrument. A high frequency cutting current delivered by any standard electrosurgical unit will neatly divide the ureteral meatus. We prefer to introduce the instrument through the meatus, expend the loop and cut under vision while the instrument is withdrawn into the bladder. Excessive bleeders should be fulgurated. 720 N. Michigan Ave., Chicago 11, Ill. Read at annual meeting, North Central Section, American Urological Association, Milwaukee, Wis., October 12, 1950.
578
Vol. 66, No. 4, October, 1951 Printed in U.S.A.
A "BABY" URETERAL MEATOTOME LEANDER W. RIBA
AND
JAMES B. REYNOLDS
We have experienced difficulty in performing a ureteral meatotomy in children through a small caliber cystoscope. Meatotomes are usually designed for use through an operating cystoscope or urethroscope. Tightly constricted ureteral meati in adults may present extreme difficulties ,vith standard instruments.
Frn. 1. "Baby" meatotome, 5F, being passed through 15F McCarthy cystoscope. Calibration on bakelite is shown. A shows loop extended.
The Greenwald Co. Inc. has made a baby ureteral meatotome for us, size 5F, which can be used through a 13 or 15F McCarthy cystoscope. The flexible portion is 37 cm. long and the cutting loop may be expended to a 15F. We have found this instrument (fig. 1) most valuable in performing a ureteral meatotomy through a small or large instrument. A high frequency cutting current delivered by any standard electrosurgical unit will neatly divide the ureteral meatus. We prefer to introduce the instrument through the meatus, expend the loop and cut under vision while the instrument is withdrawn into the bladder. Excessive bleeders should be fulgurated. 720 N. Michigan Ave., Chicago 11, Ill. Read at annual meeting, North Central Section, American Urological Association, Milwaukee, Wis., October 12, 1950.
578