Meatal stenosis surgery in adults

The best way to treat meatal stenosis is with surgery. The stuck bottom part of the meatus is cut apart. This type of surgery is called a “meatotomy.” After surgery, meatal stenosis rarely comes back as long as proper care is taken.

How is meatal stenosis treated?

The best way to treat meatal stenosis is with surgery. The stuck bottom part of the meatus is cut apart. This type of surgery is called a “meatotomy.” After surgery, meatal stenosis rarely comes back as long as proper care is taken. Meatal stenosis can also be treated by stretching the opening wider (“dilation”).

What is the procedure for meatal stenosis?

The procedure may be performed by a doctor to alleviate meatal stenosis or urethral stricture. A variety of techniques may be used to make the cut, but a doctor will generally crush the ventral meatus, urethra, and upper frenulum for 60 seconds with a straight Kelly hemostat and then divide the crush line with fine-tipped scissors.

Can males have meatal stenosis?

Meatal stenosis is almost always seen in males who have been circumcised. Circumcision is the surgical removal of the foreskin over the tip of the penis. It is rare for uncircumcised males to have meatal stenosis.

What are the symptoms of meatal stenosis?

The symptoms of meatal stenosis occur as a result of urine flow becoming partly blocked. Symptoms include the following: Pain or burning while urinating. Sudden urges to urinate. Having to urinate often. A small, narrow, very fast urinary stream.

What is the treatment for meatal stenosis?

Surgical Care. Meatotomy or meatoplasty is the definitive treatment for meatal stenosis. Meatotomy is a simple procedure in which the ventrum of the meatus is crushed (for hemostasis) for 60 seconds with a straight clamp (the authors have found the striations of a small nontoothed bowel clamp to be ideal for this application)…

How to correct meatal stenosis?

The procedure for correcting meatal stenosis is called a meatotomy. It involves making a small slit to increase the size of the meatus. A meatotomy can usually be done in our office or sometimes in the operating room. In the office setting, we apply a topical anesthetic cream. The cream is covered by a clear bandage…

How does meatal stenosis affect urine?

The narrow meatus obstructs urine flow causing an upward deflected or messy spraying of urine, rather than a normal stream. The effect is similar to pressing your finger up to the end of a flowing water hose. Meatal stenosis causes a host of urinary problems, including painful urination or a narrowed or misdirected urine stream.

Is meatal stenosis surgically enlarged?

Meatal stenosis is most commonly associated with circumcision performed on young boys, as the newly exposed tip of the penis constantly rubs against a wet diaper. Meatal stenosis is treatable with a meatotomy, in which the meatus is surgically enlarged. What is meatal stenosis?