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Surgical Management of Meatal Stenosis with Meatoplasty
04:53

Surgical Management of Meatal Stenosis with Meatoplasty

Published on: November 30, 2010

Home-dilatation of the urethral meatus in boys

J M Searles1, A E MacKinnon

  • 1Sheffield Children's Hospital, Sheffield, UK.

BJU International
|March 11, 2004
PubMed

Insights

Home-based urethral meatal dilatation is effective for boys with meatal stenosis. This approach successfully treats strictures, reducing the need for hospital visits and anesthesia.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation

Background:

  • Meatal stenosis in boys can result from various conditions, including balanitis xerotica obliterans (BXO) and complications from hypospadias surgery.
  • Recurrent hospital visits and general anesthesia are often required for managing urethral meatal strictures.

Purpose of the Study:

  • To assess the effectiveness of at-home urethral meatal dilatation for treating meatal stenosis in pediatric patients.

Main Methods:

  • Eighteen boys (aged 3-15 years) with meatal stenosis were taught self-dilatation techniques by a healthcare professional.
  • Causes of stenosis included BXO (5 boys) and post-surgical complications (12 boys), with one case following circumcision.

Main Results:

  • Nine patients achieved cure after the initial dilatation course.
  • Four patients relapsed but responded to subsequent treatment; three required meatoplasty due to lack of response.
  • Two late relapses occurred, with one responding to further dilatation and the other needing surgery.

Conclusions:

  • At-home urethral meatal dilatation is a teachable and successful intervention for boys with meatal stenosis.
  • This method effectively avoids repeated hospital attendances and the need for general anesthesia.
Abstract

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