Follow-up
Further Outpatient Care
- Following meatotomy, caregivers should separate the edges of the meatus and apply antibiotic ointment or petroleum jelly twice a day for 2 weeks and then once a day for 2 more weeks.
Complications
- Complications include bleeding during or after meatotomy, infection, and recurrence. All of these complications are quite rare and respond readily to appropriate management.
- Mild dysuria may persist for 1-2 days. Placing the child in a tub of warm water may provide relief.
Prognosis
- Prognosis is excellent. Meatotomy cures the symptoms of most patients.
Patient Education
- For excellent patient education resources, visit eMedicine's Men's Health Center. Also, see eMedicine's patient education articles Foreskin Problems and Circumcision.
More on Meatal Stenosis |
| Overview: Meatal Stenosis |
| Differential Diagnoses & Workup: Meatal Stenosis |
| Treatment & Medication: Meatal Stenosis |
Follow-up: Meatal Stenosis |
| References |
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References
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Litvak AS, Morris JA, McRoberts JW. Normal size of the urethral meatus in boys. J Urol. Jun 1976;115(6):736-7. [Medline].
Gargollo PC, Kozakewich HP, Bauer SB, et al. Balanitis xerotica obliterans in boys. J Urol. Oct 2005;174(4 Pt 1):1409-12. [Medline].
Brown MR, Cartwright PC, Snow BW. Common office problems in pediatric urology and gynecology. Pediatr Clin North Am. Oct 1997;44(5):1091-115. [Medline].
Smith C, Smith DP. Office pediatric urologic procedures from a parental perspective. Urology. Feb 2000;55(2):272-6. [Medline].
Frank JD, Pocock RD, Stower MJ. Urethral strictures in childhood. Br J Urol. Dec 1988;62(6):590-2. [Medline].
Garat JM, Chechile G, Algaba F, Santaularia JM. Balanitis xerotica obliterans in children. J Urol. Aug 1986;136(2):436-7. [Medline].
Persad R, Sharma S, McTavish J, et al. Clinical presentation and pathophysiology of meatal stenosis following circumcision. Br J Urol. Jan 1995;75(1):91-3. [Medline].
Sijstermans K, Hack WW, Bos SD, van der Horst HJ. [Urethral meatal stenosis in boys easily overlooked]. Ned Tijdschr Geneeskd. Dec 10 2005;149(50):2765-9. [Medline].
Stenram A, Malmfors G, Okmian L. Circumcision for phimosis: a follow-up study. Scand J Urol Nephrol. 1986;20(2):89-92. [Medline].
Further Reading
Keywords
meatal stenosis, circumcision, circumcision complication, meatus, meatotomy
Follow-up: Meatal Stenosis