Please be patient! It may take up to ONE minute to load all the Engines.
Problems? Please contact our support.
Alternative namesUrethral meatal stenosis
DefinitionMeatal stenosis is a narrowing of the opening of the urethra (the tube through which urine leaves the body).
Causes, incidence, and risk factors
This condition can affect both males and females, but it is more common in males. In males, it is often caused by inflammation following the circumcision of a newborn. This leads to abnormal tissue growth and scarring across the urethral opening. The problem is usually not detected until the child is toilet trained.
In females, this condition is a congenital (present from birth) abnormality which can cause urinary tract infections and bed-wetting (enuresis).
Signs and tests
In boys, history and physical exam is adequate to make the diagnosis. In girls, VCUG (Voiding Cysto-Urethro-Gram) is usually diagnostic. Other tests may include:
In females, meatal stenosis can usually be treated in the physician's office using local anesthesia to numb the area and dilating (widening) the urethral opening with special instruments. In boys, meatoplasty, a minor outpatient surgical procedure, is the treatment of choice.
Expectations (prognosis)Most people can expect normal urination after treatment.
ComplicationsPersistent urinary problems including abnormal stream, painful urination, frequent urination, urinary incontinence, blood in the urine, and increased susceptibility to urinary tract infections can be complications.
Calling your health care providerCall for an appointment with your health care provider if your child has symptoms of this disorder.
PreventionIn a recently circumcised male infant, try to maintain a clean dry diaper and avoid any exposure of the newly circumcized penis to irrititants.
Update Date: 7/31/2002Young Kang, M.D., Department of Urology, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT