Information AboutMeatal Stenosis |
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CAUSES, INCIDENCE, AND RISK FACTORS Meatal stenosis in males is caused by Male Genital Mutilation ( Circumcision ). It occurs in 9-10% of circumcised males, but is exceedingly rare in children who are not circumcised. When the Meatus is not covered by the Foreskin , it can rub against urine soaked diapers resulting in inflammation and mechanical trauma. Eventually, the delicate Epithelial lining of the outer urethra is lost, leaving only a pinpoint hole at the tip of the glans. Meatal stenosis may also be caused by damage to the frenular artery during circumcision. {Link without Title} In females, this condition is a Congenital (present from Birth ) abnormality which can cause Urinary Tract Infection s and bed-wetting ( Enuresis ). SYMPTOMS
SIGNS AND TESTS In boys, history and Physical Exam is adequate to make the Diagnosis . In girls, VCUG ( Voiding Cystourethrogram ) is usually diagnostic. Other tests may include:
TREATMENT In females, meatal stenosis can usually be treated in the physician's office using Local Anesthesia to numb the area and dilating (widening) the urethral opening with special instruments. In circumcised boys, it is treated by a second surgical procedure called Meatotomy in which the meatus is crushed for 60 seconds with a straight mosquito hemostat and then divided with fine-tipped scissors. PROGNOSIS Most people can expect normal urination after treatment. COMPLICATIONS Persistent urinary problems including abnormal stream, Pain ful urination, frequent urination, urinary incontinence, blood in the urine, and increased susceptibility to urinary tract infections can be complications. PREVENTION Meatal stenosis can be prevented by not circumcising. Circumcision is not recommended by any professional medical organization anywhere in the world. SOURCE
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