What is a Meatotomy?

Meatal stenosis most commonly occurs in babies whose penises are irritated by the urine in their diapers.

Meatotomy is the division of the lower part of the glans penis to open the urethra further. Most often, meatotomy is performed as a surgical procedure to help alleviate a medical condition, although some men opt for an elective procedure for cosmetic or sexual purposes. If a type of penis piercing known as a Prince Albert is accidentally torn open, an involuntary cracking of the glans can occur.

Ibuprofen can help relieve pain associated with a meatotomy.

Meatal stenosis is a condition that causes the urethra to narrow at the end of the penis. This condition is more common in babies whose penises are irritated by urine in diapers. While meatal stenosis usually doesn’t cause any major complications, it can cause more difficulty urinating as a child ages. Meatotomy is usually performed to widen the urethra in case of meatal stenosis or other medical conditions that make it difficult for patients to urinate.

A meatotomy is a procedure done to further open the urethra, usually to alleviate a medical condition.

Meatotomies are usually done on an outpatient basis under local anesthesia. The surgeon applies an anesthetic cream to the tip of the penis, covers it with a clear bandage, and makes a small slit at the tip of the penis. The entire procedure usually takes less than an hour.

Most patients who undergo meatotomy for a medical condition heal quickly with very few problems or complications. Patients can return to normal activities the day after surgery in most cases. Mild pain and discomfort after surgery is normal and can be treated with over-the-counter pain relievers. The penis is normally left uncovered after the procedure, and an antibiotic ointment is usually applied into the incision twice daily for the first two weeks.

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Some patients may experience heavy bleeding, swelling, or severe pain after surgery. Although the penis usually heals quickly, patients who experience any of these symptoms should report them to doctors or seek medical attention as soon as possible. Although a low-grade fever is common after surgery, a fever that is high or that persists for more than a day can be a sign of an infection. Pus at the surgery site and redness near the incision are other signs of infection that should be examined by a doctor.

An accidental meatotomy resulting from a torn piercing or other injury should be examined by a doctor. Surgical intervention is rarely necessary, but patients who have accidentally split the tip of the penis may require medical monitoring to avoid infection and further lacerations.

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