Meatal Stenosis Workup

Updated: Sep 22, 2016
  • Author: Joel F Koenig, MD; Chief Editor: Marc Cendron, MD  more...
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Workup

Approach Considerations

Meatal stenosis does not cause urinary tract infections, hydronephrosis, or any form of obstruction of the lower urinary tract. For this reason, no further urologic investigation is warranted.

If the diagnosis is in question, observing the child void, with particular attention to the force of the stream (increased), caliber of the stream (decreased), and duration of the voiding episode (usually prolonged), is helpful. If an elimination disorder is suspected, noninvasive urodynamics such as uroflow with electromyography (pad electrodes) and measurement of bladder capacity and postvoid residuals could be indicated. If associated infection is a possibility, urinalysis with culture should be obtained.