In children, meatal stenosis is usually easily treated with meatotomy. A small incision is made in the meatus to enlarge the opening. In some cases, the outside skin may then be sewn to the inside lining of the urethra. In adults with more severe urethral meatal stenosis, a slightly more complex surgical procedure can be done.
Surgery can cause bleeding, infection, and allergic reaction to anesthesia.
The healthcare provider will give specific instructions for care of the meatus and surgery site. An antibiotic ointment may be applied around the meatus. The meatus may also need to be gently opened with a small plastic tube a few times a day for a couple of weeks.
The person may be advised to avoid bicycle riding, contact sports, and activities on playground equipment for a few days. In some situations, no further treatment is necessary. For more complex stenosis or surgery, a person may have further instructions to follow.
The meatus is examined during periodic checkups to make sure the condition does not recur. Any new or worsening symptoms should be reported to the healthcare provider.