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Female urinary tract
Female urinary tract


Male urinary tract
Male urinary tract


Meatal stenosis
Meatal stenosis


Definition:

Meatal stenosis is a narrowing of the opening of the urethra, the tube through which urine leaves the body.



Alternative Names:

Urethral meatal stenosis



Causes, incidence, and risk factors:

Meatal stenosis can affect both males and females, but it is more common in males.

In males, it is often caused by swelling and irritation (inflammation) after a newborn is circumcised . This leads to abnormal tissue growth and scarring across the opening of the urethra. The problem is usually not found until the child is toilet trained.

In females, this condition is present at birth (congenital). Although less common, metal stenosis may also affect adult women.

Risks include:



Symptoms:

Signs and tests:

In boys, a history and physical exam are enough to make the diagnosis.

In girls, a voiding cystourethrogram may be done. The narrowing may also be found during a physical exam, or when a health care provider tries to place a Foley catheter .

Other tests may include:



Treatment:

In females, meatal stenosis can usually be treated in the health care provider's office. This is done using local anesthesia to numb the area. Then the opening of the urethra is widened (dilated) with special instruments.

In boys, a minor outpatient surgery called meatoplasty is the treatment of choice.



Support Groups:



Expectations (prognosis):

Most people will urinate normally after treatment.



Complications:

Calling your health care provider:

Call for an appointment with your health care provider if your child has symptoms of this disorder.



Prevention:

If your baby boy has recently been circumcised, try to keep the diaper clean and dry. Avoid exposing the newly circumcised penis to any irritants.



References:

Jordan GH, Schlossberg SM. Surgery of the penis and urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 33.

Elder JS. Abnormalities of the genitalia in boys and their surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 126.

Elder JS. Obstruction of the urinary tract. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 540.

Elder JS. Anomalies of the penis and urethra. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 544.




Review Date: 9/7/2008
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100