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=== Causes ===
In a child who is [[circumcised]], persistent exposure of the [[meatus ]] to [[urine]] and mechanical trauma from rubbing against a wet diaper results in ammoniacal dermatitis,<ref name="brenneman1921">{{REFjournal
|last=Brennemann
|init=J
|pages=38-47
|accessdate=2024-02-04
}}</ref> loss of meatal epithelium, and fusion of its ventral edges. This results in a pinpoint orifice at the tip of the [[glans]].
Other causes of meatal stenosis include the following:
=== Surgical care ===
Serial dilatation results in small tears of the meatus, which are followed by secondary healing. In the long term, this creates a tighter stricture at the tip of the [[penis]]; therefore, this procedure is discouraged.
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.