Certified Surgical Technologist (CST) Practice Exam

Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis?

1. Epispadias repair

2. Hypospadias repair

3. Ureteroneocystostomy

4. Meatotomy

The correct answer is: Epispadias repair

The procedure performed to correct an abnormality where the urethral meatus is located on the superior aspect of the penis is known as epispadias repair. Epispadias is a congenital condition that occurs when the urethra does not form properly, often resulting in the meatus being positioned above its usual location on the penis. The repair involves reconstructive techniques to reposition the urethral opening correctly, which can help improve urinary function and physical appearance. This corrective surgery is typically performed in infancy or early childhood to facilitate normal urinary and sexual function as the child grows. Other procedures mentioned have different indications and do not address the meatus's superior positioning specifically. Hypospadias repair, for example, pertains to an abnormality where the urethral opening is located on the underside of the penis, while ureteroneocystostomy relates to relocating the ureters to the bladder, not an issue concerning the placement of the urethral meatus. A meatotomy is a surgical procedure to incise the meatus and widen its opening but does not correct the positioning of the meatus itself. Thus, epispadias repair is the appropriate choice for addressing this particular abnormality.