Meatoplasty is altering the urethral external opening to enlarge this opening. It is usually required when the terminal part of the urinary passage narrows down producing a obstructed and narrow stream. It may happen due to a variety of reasons. It is not very uncommon to see that happen after a heart bypass surgery, when a urethral catheter is usually kept for a couple of days. Meatal stenosis is a narrowing of the opening of the urethra, the tube through which urine leaves the body.
In females, this condition is a birth abnormality which can cause urinary tract infections and bed-wetting. Although less common, this condition may also be seen in adult women. It may occur if multiple endoscopic procedures (cystoscopy) have been performed, or if the person suffers from severe, long-term atrophic vaginitis.
Symptoms
Diagnosis
In boys, history and physical exam is adequate to make the diagnosis. In girls, VCUG (voiding cystourethrogram) is usually diagnostic. The narrowing may also be found on physical exam, or at the time of attempted Foley catheter placement.
Other tests may include:
Diagnosis
In females, meatal stenosis can usually be treated in the physician's office. This is done using local anesthesia to numb the area and dilating (widening) the urethral opening with special instruments. In boys, meatoplasty, a minor outpatient surgical procedure, is the treatment of choice.
Most people can expect normal urination after treatment.
Persistent urinary problems can be complications resulting from meatal stenosis. They include:
The other Urology Procedures are:
Few Major Hospitals for Meatoplasty are:
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