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Meatotomy is the definitive treatment for meatal stenosis. Meatotomy is a simple procedure in which the ventrum of the meatus is crushed (for hemostasis) for 60 seconds with a straight mosquito hemostat and then divided with fine-tipped scissors.
Brown et al. (1997) reported excellent results following 130 office meatotomies with only 2 recurrences of meatal stenosis and 1 patient with [[bleeding ]] requiring stitches. They also cited the cost-effectiveness of this treatment and noted good patient tolerance when a caring approach is used to reassure the child before and during the procedure. In this series, parents were encouraged to remain with the children during the operation, as their presence seemed to have a calming effect.<ref>{{REFjournal
|last=Brown
|init=MR
=== Complications ===
Complications include [[bleeding ]] during or after meatotomy, infection, and recurrence. All of these complications are quite rare and respond readily to appropriate management.
Mild dysuria may persist for 1-2 days. Placing the child in a tub of warm water may provide relief.