What is meatoplasty?

Meatoplasty is a surgery in which the end of a child’s penis is surgically opened and the edges are stitched together. This procedure is done when the opening at the end of the boy’s penis is too small, making it difficult for him to urinate. Meatotomy is the surgical opening of the hole (urethral meatus) with no stitching.

This opening is called the urinary meatus, or the external urethral orifice. The word meatus means opening. When the meatus is too small, it is called meatal stenosis.

Who may need meatoplasty?

Meatal stenosis occurs in around 10% of males. It is a common, easily treated condition that affects circumcised male infants.

What are the symptoms of meatal stenosis?

Symptoms of meatal stenosis include:

  • trouble aiming the urine stream.
  • very thin, upward- or sideways-pointing urine stream.
  • spraying urine stream.
  • pain upon urinating.
  • need to urinate often.
  • a feeling the bladder has not completely emptied.

Because meatal stenosis is most often diagnosed after potty training, it is usually the parents who notice such symptoms. If you notice any of these symptoms in your son, you should seek medical advice. If it is not treated, meatal stenosis may lead to urinary tract infections and kidney problems.

How is meatal stenosis diagnosed?

Your child’s doctor will began an exam by taking a urine sample to test for a urinary tract infection as a cause of any problems.

He or she will then physically examine your child. A visual exam can allow the doctor to diagnose meatal stenosis.

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