Meatal Stenosis/Meatotomy
What is meatal stenosis?
Meatal stenosis occurs when the opening of the urethra, where urine exits a boy’s penis, is too small or narrow for urine to pass. This extra skin that grows in the urethral opening acts like the tip of a garden hose being blocked or pinched. This causes the stream of urine to spray or deflect upward.
What can be done about meatal stenosis?
A procedure called a meatotomy can be done to make the opening larger. This will be done as an outpatient in the pediatric sedation center. Your child will be given anesthesia to make him sleepy. At this time the opening to the urethra will be cut slightly to make it the correct size. A local numbing agent will be applied to help with pain after surgery. This often wears off in 2-4 hours. You will also be given a dilator to use at home. The doctor will show you how to use this before you go home. The healing process will take 1 to 2 weeks.
How do I care for my child at home?
- No restrictions after discharge.
- Your child can take a bath after the procedure.
- Dilate the meatus three times a day for one week. Give medicine for pain as needed to keep your child comfortable. You may give children’s Motrin® or Tylenol®.
- Your child may return to his normal routine as he is able.
- Your child should return for a follow up with the pediatric urology Nurse Practitioner in 2 weeks.
When should I call the doctor?
- Increased drainage or bleeding from the incision.
- Red streaks from the incision.
- Foul smell or pus from the incision.
- Chills or fever over 101.5°F by mouth.
- Trouble passing urine.
- No bowel movement for 2 days.
- Pain not controlled by pain medicine.
- Any new problems or concerns.
Phone Numbers
Pediatric Urology Clinic: Mon-Fri 8am-4pm, 608-263-6420.
After hours, weekends, or holidays, a paging operator will answer. Ask for Urology Resident on call. Leave your name and phone number with the area code. The doctor will call you back.
If you live out of the area, please call 1-800-323-8942.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 02/28/2013
Copyright © 02/28/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6770
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