meatoplasty surgery

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Meatoplasty surgery-

• Symptoms, causes and treatment.

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Introduction-

• Meatoplasty is a surgery in which the end of a
  child's penis is surgically opened and the edges
  are stitched together. This procedure is done
  when the opening at the end of the boy's penis is
  too small or the shape of the hole distorts the
  urinary stream, making it difficult for him to
  urinate (pee).

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Symptoms-

• Symptoms of meatal stenosis include
• Trouble aiming the urine stream.
• Very thin, upward- or sideways-pointing urine
  stream.
• Spraying urine stream.
• Pain upon urinating.

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• Need to urinate often.
• A feeling the bladder has not completely emptied.
• Because meatal stenosis is most often diagnosed
  after potty training, its usually the parents
  who notice such symptoms. If you notice any of
  these symptoms in your son, you should seek
  medical advice. If its not treated, meatal
  stenosis may lead to urinary tract infections and
  kidney problems.

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Causes-

• Meatal stenosis happens when the opening at the
  end of the penis narrows. This condition is
  almost always seen in males who have
  been circumcised. Circumcision is a procedure
  where the foreskin over the head of the penis is
  removed. Its rare for uncircumcised males to
  have meatal stenosis. This could mean that
  circumcision is a possible reason the meatus
  became narrower. Other causes of meatal stenosis
  can include

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• Inflammation (swelling) or injury that results
  from a babys penis rubbing against a diaper or
  the babys own skin after circumcision.
• A diaper containing the buildup of crystals of
  uric acid and ammonia, which are found in urine.
• Long-term use of urinary catheters (tubes used to
  drain urine).
• Procedures or surgeries involving insertion of
  instruments into the urethra.

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Treatment-

• Diagnosis of meatal stenosis typically starts
  with your healthcare provider doing a physical
  exam and measuring the width of the meatus . A
  small, narrow meatus means that the passage is
  partly blocked.
• However, there are natural differences in meatal
  widths in different males. This means that you
  could naturally have a narrow meatus without
  having meatal stenosis.

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• There are also other factors that your healthcare
  provider will consider during the diagnosis
  process. Your overall health not just the
  appearance of the meatus is the key to deciding
  whether stenosis is present or not. Observation
  during urination can determine whether your urine
  stream is straight or not. Also, your healthcare
  provider can take measurements of the rate of
  flow that can help make the right diagnosis. An
  uncontrolled path of a urine stream and spraying
  of the urinary stream could mean that a
  correction of the meatal stenosis is needed.

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