Meatal stenosis is a narrowing of the opening of the urethra, on the glans or tip of the penis. The urethra is the tube through which urine leaves the body.
If your son has meatal stenosis, the opening (meatus) on the tip of his penis is very tight, which can make it difficult and often painful for him to urinate (pee). He may urinate with a deflected or small urinary stream.
In addition, it may take a very long time for him to finish urinating. Urinary tract infections (UTIs) may be more common, and even without an infection, your child may complain of burning or discomfort when urinating.
In order to make the opening on the penis larger so that your child can pee freely, your Nemours urologist will perform what’s called a meatotomy or meatoplasty, an outpatient operating room procedure that takes about a half an hour.
From Nemours' KidsHealth
- A to Z: Neurogenic Bladder
- Urine Test: Dipstick
- A to Z: Cystitis
- A to Z: Edema
- Urine Test: Calcium
- Urine Test: Creatinine
- Urine Test: Protein
- X-Ray Exam: Voiding Cystourethrogram (VCUG)
- Ultrasound: Renal (Kidneys, Ureters, Bladder)
- What Can I Do About My Child's Bedwetting?
- Kidneys and Urinary Tract
- Recurrent Urinary Tract Infections and Related Conditions
- Urinary Tract Infections
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Bedwetting is an issue that millions of families face every night. It is extremely common among young kids but can last into the teen years.
Doctors don't know for sure what causes bedwetting or why it stops. But it is often a natural part of development, and kids usually grow out of it. Most of the time, bedwetting is not a sign of any deeper medical or emotional issues.
All the same, bedwetting can be very stressful for families. Kids can feel embarrassed and guilty about wetting the bed and anxious about spending the night at a friend's house or at camp. Parents often feel helpless to stop it.
Bedwetting may last for a while, but providing emotional support and reassurance can help your child feel better until it stops.
How Common Is Bedwetting?
Nocturnal enuresis (the medical name for bedwetting) is involuntary urination that happens at night during sleep after the age when a child should be able to control his or her bladder. It's a common problem in kids, especially those under 6 years old. About 13% of 6-year-olds wet the bed, while about 5% of 10-year-olds do.
Bedwetting often runs in families: many kids who wet the bed have a relative who did, too. If both parents wet the bed when they were young, it's very likely that their child will.
Coping With Bedwetting
Bedwetting usually goes away on its own. But until it does, it can be embarrassing and uncomfortable for your child. So it's important to provide support and positive reinforcement during this process.
Reassure your child that bedwetting is a normal part of growing up and that it's not going to last forever. It may comfort your child to hear about other family members who also struggled with it when they were young.
Try to have your child drink more fluids during the daytime hours and less at night (and avoid caffeine-containing drinks). Then remind your child to go to the bathroom one final time before bedtime. Many parents find that using a motivational system, such as stickers for dry nights with a small reward (such as a book) after a certain number of stickers, can work well. Bedwetting alarms also can be helpful.
When your child wakes with wet sheets, don't yell or punish. Have your child help you change the sheets. Explain that this isn't punishment, but it is part of the process. It may even help your child feel better knowing that he or she helped out. Offer praise when your child has a dry night.
When to Call the Doctor
Bedwetting that begins suddenly or is accompanied by other symptoms can be a sign of another medical condition, so talk with your doctor.
Call the doctor if your child:
- suddenly starts wetting the bed after being consistently dry for at least 6 months
- begins to wet his or her pants during the day
- snores at night
- complains of a burning sensation or pain when urinating
- has to pee frequently
- is drinking or eating much more than usual
- has swelling of the feet or ankles
- is 7 years of age or older and still wetting the bed
Also let the doctor know if your child is under a lot of stress, if you're feeling frustrated with the situation, or if you could use some help. In the meantime, your support and patience can go a long way in helping your child feel better about and overcome the bedwetting.
Remember, the long-term outlook is excellent and in almost all cases, dry days are just ahead./p>
Reviewed by: Marcella A. Escoto, DO
Date reviewed: September 26, 2016