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Meatusenge
Causes of meatal stenosis
The narrowing of the meatus can have various causes:
- Congenital malformation: Some children are born with a narrowed urethral opening.
- Scar formation after circumcision: One of the most common causes in boys is the formation of scar tissue after circumcision.
- Chronic inflammations: Repeated inflammations or infections of the urethra can lead to a narrowing of the urethral opening.
Symptoms of meatal stenosis
- Weak or interrupted urine stream
- Pain or burning during urination
- Prolonged time required for urination
- Frequent urinary tract infections
- In severe cases, difficulty emptying the bladder may occur
Diagnosis of meatal stenosis
The diagnosis is made through a physical examination in which the doctor checks the urethral opening. A urine flow measurement (uroflowmetry) can be performed to assess the strength of the urine stream. In some cases, a cystoscopy (bladder endoscopy) may be necessary to examine the urethra and bladder more closely.
Treatment options for meatal stenosis
- Operative enlargement (Meatotomy): The most common treatment method is a minor surgical procedure to enlarge the urethral opening. This procedure is usually performed on an outpatient basis and under local anesthesia.
- Long-term monitoring: After the operation, the urethral opening is regularly checked to ensure that the narrowing does not recur.
Preventive measures for meatal stenosis
Since a meatal stenosis often occurs after circumcision or due to scar formation, careful wound care after surgical procedures can reduce the risk of narrowing. Regular medical check-ups can help to detect and treat a meatal stenosis early.
Common Patient Questions about Meatal Stenosis
Symptoms of a meatal stenosis can include difficulty urinating, a weak urine stream, pain or burning during urination, frequent urination, and the feeling of incomplete bladder emptying.
The diagnosis of a meatal stenosis is usually made through a physical examination, during which the doctor assesses the urinary stream and symptoms. Imaging techniques such as ultrasound or urethroscopy can also be used to identify the narrowing and evaluate the condition of the urethra.
Non-surgical treatment options for a meatal stenosis include the use of special urethral catheters to widen the urethral canal, performing dilation procedures, and medication therapies to relieve inflammation or irritation.
Yes, a meatal stenosis can occur spontaneously in adults, often due to scarring, inflammation, or injury. Conditions such as balanitis or repeated urinary tract infections can also contribute to the development of meatal stenosis.
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