Clinical Hub,Patient Education,Health and Nutrition Facts For You,Pediatrics, Parenting

Meatal Stenosis/Meatotomy (6771)

Meatal Stenosis/Meatotomy (6771) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Pediatrics, Parenting


Meatal Stenosis/Meatotomy

What is meatal stenosis?
Meatal stenosis occurs when the opening of the urethra, where urine comes out of the penis, is
too small or narrow for urine to pass. Extra skin grows in the urethral opening causing a
blockage or pinching that makes the urine stream spray in different directions. This causes the
stream of urine to spray up. The same way placing your finger over the tip of a garden hose
causes the water to spray.

What can be done about meatal stenosis?
An in clinic procedure called a meatotomy can be done to make the opening larger. A numbing
cream will be applied to the area and covered with a clear dressing to stay in place. This will
remain on for about 30-45 minutes. A small cut will be made in the opening of the urethra to
make it the correct size. The numbing cream often wears off in 2-4 hours. Healing will take 1 to
2 weeks.

What to Expect
ξ Your child may have some pain, tenderness, and/or swelling at the incision site. Give
your child Tylenol® as needed for pain to keep him comfortable
ξ You will be given an antibiotic ointment to apply to the opening of the penis. Apply the
ointment 3 times a day for 1 week at home after the procedure. This will help keep the
opening from closing and help keep your child’s underwear from sticking to his penis
during healing. You will be shown how to do this before you go home.
ξ Your child should have a soft, easy to pass bowel movement once daily. An increased
fiber diet and over-the-counter stool softener will help with this.
ξ Sometimes the first time your child urinates after the procedure may be difficult. Some
children complain of burning or painful sensation. This will go away the more often your
child urinates and will improve the more often they urinate.

ξ No restrictions
ξ Your child may shower or take a bath following the procedure

Call the Doctor If Your Child
ξ Has a fever greater than 101.5 θ F for 2 readings taken 4 hours apart
ξ Has severe pain that doesn’t go away with pain medicine
ξ Increased drainage, bleeding or redness (some is normal) from the incision
ξ Has trouble urinating

Follow up Care
ξ Give Tylenol® as needed to keep you child comfortable
ξ Apply ointment as instructed
ξ Your child may return to his normal routine as he is able.
ξ Your child should return for a follow up appointment if symptoms come back.
ξ If you have any problems, please call the clinic.

Phone Numbers
Pediatric Urology Clinic: Mon-Fri 8:00am-4:30pm, 608-263-6420.

After hours, weekends or holidays, a paging operator will answer. Ask for Pediatric 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.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 9/2015. University of Wisconsin Hospital
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6771