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The incision of the urethral meatus in the male often becomes necessary to allow of the passage of urethral instruments, especially for sounds and catheters of large size, for urethroscopes and cystoscopes, the segregator, etc. In the days when meatotomy was required for the passage of sounds principally this operation seemed to satisfy. But now that the surgeon must wait until healing of a meatotomy wound takes place before proceeding with his refined methods of diagnosis, the slow process of healing by granulation and the necessary daily separation of these divided surfaces which lie in contact and which reunite immediately unless torn apart by force, is tedious, usually bloody, and daily inflicts an amount of pain poorly borne by the patient, and the result is apt to be imperfect for obvious reasons.
The writer recognized these objections several years ago and began suturing meati whenever a meatotomy was done.
LORD JP. MEATOTOMY PLUS MEATORRHAPHY.. JAMA. 1903;XLI(18):1090-1091. doi:10.1001/jama.1903.92490370032001i