What’s a Meatotomy?
Meatotomy is a surgical procedure done to widen the meatus. The meatus is the opening at the tip or end of the penis where urine leaves the body. Meatotomy is usually done because the meatus is too narrow or blocked, a condition called meatal stenosis or urethral stricture.
Who’s a good candidate for a meatotomy?
Meatotomy is usually a common treatment for males whose meatus is too narrow or slim, making it hard to aim their urine stream or causing them pain when they urinate. Meatotomy is a safe and painless procedure which can be performed even when your child is as young as three months old.
See the doctor if your child has one or more of the following symptoms of meatal stenosis:
- Difficulty aiming their urine stream when peeing.
- Spraying urine stream.
- Pain while peeing.
- Having to pee often.
- A feeling that the bladder is still full after peeing.
Meatotomy can be done in a single day without having to admit your child to the hospital. Your doctor will discuss with you on which anesthesia is best for your child.
To perform a meatotomy, after your child has been given anesthesia, your doctor does the following:
- Sterilizes the tip/ end of the penis with an iodine solution.
- Wraps the penis in a sterile drape.
- Crushes the tissues on one side of the meatus for easy cutting.
- Makes a V-shaped cut on the bottom of the penis from the meatus.
- Stitches the tissues back together so that the meatus looks like a slit and the tissues heal properly, averting further issues.
- Inserts a probe into the meatus to make sure there are no other narrow areas.
- In certain cases, the doctor inserts a catheter into the meatus to aid urination.
Your child will be ready to go home from right after the anesthesia wears off. At most, you may wait a few hours for post-operative testing and recovery. For major surgical procedures, your child may need to recover in the hospital for up to three days.
Your child will recuperate from a meatotomy after a few days. Any stitches used will fall out after some days, so they don’t need to be taken out by your doctor.
To care for your child after a meatotomy:
- Give your child a non-steroidal anti-inflammatory drug (NSAID) such as ibuprofen for pain. Discuss with your doctor first to find out what medications are safe for your child.
- Apply an antibiotic ointment to the tip of the penis twice a day for at least 2 weeks.
- Make a warm bath for your child to sit in to relieve pain twenty four hours after the procedure is done.
- Avoid use wipes when changing your child’s diaper. Instead, use a warm, damp cloth.
- Do not let your child do any strenuous physical activity for at least a week.
- If instructed, insert a lubricated dilator into the meatus twice a day for 6 weeks to keep it from narrowing.
Risks Associated with this Procedure
Meatotomy is considered a safe procedure. Your child may have some of the following symptoms for some few weeks after the procedure:
- Burning or stinging when they pee.
- Small amounts of blood in diapers.
- Urine spraying when they urinate until the stitches fall out.
Take your child to the hospital immediately if you notice any of these symptoms:
- High fever
- A lot of bleeding around the meatus.
- A lot of redness, irritation or swelling near the meatus.
Possible complications from meatotomy include:
- Spraying when peeing.
- Infection of the meatus or surgery site.
- Scarring of the penis tip.
- Blood clots.
: The information provided herein is for patient general knowledge only and should not be used during any medical emergency, diagnosis or treatment of any medical condition. Duplication for personal and commercial use must be authorized in writing by Surjen.com.