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Meatotomy

Meatotomy is a simple outpatient procedure in which the urethral meatus is incised to relieve meatal stenosis, typically using scissors or a blade to divide the ventral lip of the meatus. Dorsal meatotomy incises the dorsal aspect to widen the meatal opening while avoiding the sensitive ventral frenulum. The procedure is performed under local anesthesia and provides immediate relief, though recurrence may necessitate formal meatoplasty.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

  1. Morey AF, Angermeier KW, Rourke KF, et al. "AUA Urethral Stricture Guideline." J Urol. 2017;197(1):182–90. PMID: 27479160
  2. Wilkinson AG. "Meatoplasty for meatal stenosis." Ann R Coll Surg Engl. 2005;87(3):225–6. PMID: 15901381