Pediatric Meatal Stenosis

Pediatric Meatal Stenosis

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Summary

Meatal stenosis means that the meatus (opening at the tip of the penis) narrows.

Expanded overview

Meatal stenosis is a condition in which the meatus (opening at the tip of the penis) becomes narrower than the typical penis. This condition can be congenital (present at birth) or it can occur later in life, usually between the ages of 3 and 7.

Causes

This condition is almost exclusively seen in males who have been circumcised. When meatal stenosis occurs later in life, it can be caused by:

  • Diaper containing the buildup of crystals of uric acid and ammonia (both found in urine)
  • Extended use of urinary catheters (tubes to drain urine)
  • Inflammation or injury that results from a baby’s penis rubbing against the diaper or the baby’s own skin after circumcision

Symptoms

Signs and symptoms of meatal stenosis include:

  • Drop of blood at the tip of the penis after urinating
  • Having to urinate often
  • Pain or burning while urinating
  • Small, narrow, very fast urinary stream
  • Sudden urge to urinate
  • Trouble with fully emptying the bladder
  • Urinary flow that sprays (usually upward) or is difficult to aim

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