The physicians and staff of the Pediatric Urology Group evaluate and treat your child’s pediatric urological condition with the expertise of a skilled professional and the compassion of a caring parent.
The removal of the foreskin that surrounds the head (or glans) of the penis.
The head of the penis.
A decrease in the blood supply to an organ, caused by a constriction or obstruction of the blood vessels.
A form of penile modification in which the underside of the glans is split.
A body opening or passage; in this case, the opening to the urethral canal.
Meatal stenosis is an abnormal narrowing of the urethral meatus — the opening at the tip of the penis. Though the condition can exist at birth, it is usually acquired, and is most commonly associated with circumcision. It is suspected that the newly exposed tip of the penis, including the meatus, may rub against a diaper or the child’s own skin.
Over time this irritation can cause scarring and a narrowing of the metus. Ischemia, a condition that occurs with circumcision in which blood supply decreases to the organ, can also cause meatal stenosis. The procedure used to correct this condition is called a meatotomy.
A meatotomy is usually performed as an outpatient procedure using local anesthetic. A small slit is made in the web of skin covering the urine channel. The channel is then probed to make sure that there are no narrow spots further up the channel.
No dressing is needed following a meatotomy. Your child may be given over the counter pain medication (Motrin, Advil or Tylenol) for any discomfort. Antibiotic ointment should be applied to the tip of the urine channel two times a day for two weeks following the procedure. Carefully follow your healthcare provider’s instructions regarding pain medication and ointment application. Your son should be able to resume normal activities within a day or two.