Treatment of meatal stenosis is a surgery called a meatoplasty. This surgery opens or widens the meatus. Absorbable sutures may be placed around the meatus. Often a cystoscopy is done at the same time to inspect the entire urethral tube and ensure no other obstructions. A meatoplasty is an outpatient procedure .
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- Bleeding (hematuria) at end of urination
- Discomfort with urination
- Abnormal strength and direction of urinary stream
- Incontinence (day or night)
- Urinary tract infections
- Visible narrow opening in boys
The procedure starts with a general anesthesia. This operation takes approximately 30 minutes. After the meatoplasty, the patient will be moved to the recovery room for about an hour. You will be discharged later the same day.
The risks of meatoplasty are slight. The greatest risk is that as the ear canal heals, it once again becomes narrow. There may be some post operative bleeding and rarely this may require return to theatre. There may be some local numbness of the ear. There is no direct risk to hearing but as the operation is often part of another procedure the risks of the main operation must be considered.
After the procedure, it is important for you to spread the opening and apply ointment (aquaphor or an antibiotic ointment such as Neosporin or bacitracin) three times daily, and at bath time for one week. This will prevent the edges of the new opening from closing back together. The doctor or nurse will teach you how to do this.Your son should sit in a tub of clear, warm water without soap or bubble bath for 10 to 15 minutes each day, starting the day of surgery. This will help keep the area clean and prevent crusting.A small amount of ointment ointment may be placed on the diaper or on a gauze pad in his underpants to keep the area from sticking.There may be a small amount of blood-tinged drainage from the opening for a few days.