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Meatoplasty is altering the urethral external opening to enlarge this opening. It is usually required when the terminal part of the urinary passage narrows down producing a obstructed and narrow stream. It may happen due to a variety of reasons. It is not very uncommon to see that happen after a heart bypass surgery, when a urethral catheter is usually kept for a couple of days. Meatal stenosis is a narrowing of the opening of the urethra, the tube through which urine leaves the body.

In females, this condition is a birth abnormality which can cause urinary tract infections and bed-wetting. Although less common, this condition may also be seen in adult women. It may occur if multiple endoscopic procedures (cystoscopy) have been performed, or if the person suffers from severe, long-term atrophic vaginitis.


  • Abnormal strength and direction of urinary stream
  • Visible narrow opening in boys
  • Discomfort with urination
  • Incontinence (day or night)
  • Bleeding (hematuria) at end of urination
  • Urinary tract infections


In boys, history and physical exam is adequate to make the diagnosis. In girls, VCUG (voiding cystourethrogram) is usually diagnostic. The narrowing may also be found on physical exam, or at the time of attempted Foley catheter placement.

Other tests may include:

  • Urine analysis
  • Urine culture
  • CBC, basic metabolic panel
  • Overactive bladder is a condition in which the bladder squeezes at the wrong time. The condition may be caused by nerve problems, or it may occur without any clear cause
  • Renal and bladder ultrasound


In females, meatal stenosis can usually be treated in the physician's office. This is done 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.

Most people can expect normal urination after treatment.

Persistent urinary problems can be complications resulting from meatal stenosis. They include:

  • Abnormal urine stream
  • Painful urination
  • Frequent urination
  • Urinary incontinence
  • Blood in the urine
  • Increased susceptibility to urinary tract infections

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